Evaluation of Blood Product Requests in the Emergency Department: A Prospective Observational Study

Yasemin Özdamar; Mehmet Cihat Demir; İlter Ağaçkıran; Nalan Metin Aksu

Article Details

Evaluation of Blood Product Requests in the Emergency Department: A Prospective Observational Study

Authors:

Yasemin Özdamar | Mehmet Cihat Demir | İlter Ağaçkıran | Nalan Metin Aksu

Publisher:

Hitit University

Main Topics:

Acil Tıp

Journal:

Hitit Medical Journal Vol.6 Issue 2, pp.178-185

Document Type:

Article

Publication Date:

6/2024

Document Language:

English

Document ID (Org No.):

2001321970

pISSN:

2687-4717

Keywords:

Abstract:

 Objective: Emergency department ED blood product requests are rising, but it is unclear if they are excessive. We aimed to examine the blood product requests and usage rates made by emergency physicians to determine whether the requests for blood products are excessive. Material and Method: This prospective, observational, and single-center study analyzed demographic data indications for blood transfusion, and transfusion rates of patients aged 18 years and older admitted to a tertiary adult emergency department in five months. Results: One thousand four hundred seventy-five blood product requests with a mean of 6.92 units per patient were examined. Of 63.1, these requests were not used. The transfusion rates were 40.89  for erythrocyte suspension, 25.61 for thrombocyte suspension, and 44.34 for fresh frozen plasma. The main indications for requesting blood products were gastrointestinal bleeding and anemia. Specifically, 30.04 of erythrocyte suspensions, 31.9 of thrombocyte suspensions, and 60.56 of fresh frozen plasma were used for patients with gastrointestinal bleeding. In trauma patients, 12.75 of requested erythrocyte suspensions, 0.083 of thrombocyte suspensions, and 13.89 of fresh frozen plasma were utilized. Conclusion: Excessive requests for blood products in the emergency department can misuse resources. The transfusion committee should develop specialized strategies and increase physician awareness to reduce unnecessary requests and optimize resource utilization.

 Objective: Emergency department ED blood product requests are rising, but it is unclear if they are excessive. We aimed to examine the blood product requests and usage rates made by emergency physicians to determine whether the requests for blood products are excessive. Material and Method: This prospective, observational, and single-center study analyzed demographic data indications for blood transfusion, and transfusion rates of patients aged 18 years and older admitted to a tertiary adult emergency department in five months. Results: One thousand four hundred seventy-five blood product requests with a mean of 6.92 units per patient were examined. Of 63.1, these requests were not used. The transfusion rates were 40.89  for erythrocyte suspension, 25.61 for thrombocyte suspension, and 44.34 for fresh frozen plasma. The main indications for requesting blood products were gastrointestinal bleeding and anemia. Specifically, 30.04 of erythrocyte suspensions, 31.9 of thrombocyte suspensions, and 60.56 of fresh frozen plasma were used for patients with gastrointestinal bleeding. In trauma patients, 12.75 of requested erythrocyte suspensions, 0.083 of thrombocyte suspensions, and 13.89 of fresh frozen plasma were utilized. Conclusion: Excessive requests for blood products in the emergency department can misuse resources. The transfusion committee should develop specialized strategies and increase physician awareness to reduce unnecessary requests and optimize resource utilization.

 Objective: Emergency department ED blood product requests are rising, but it is unclear if they are excessive. We aimed to examine the blood product requests and usage rates made by emergency physicians to determine whether the requests for blood products are excessive. Material and Method: This prospective, observational, and single-center study analyzed demographic data indications for blood transfusion, and transfusion rates of patients aged 18 years and older admitted to a tertiary adult emergency department in five months. Results: One thousand four hundred seventy-five blood product requests with a mean of 6.92 units per patient were examined. Of 63.1, these requests were not used. The transfusion rates were 40.89  for erythrocyte suspension, 25.61 for thrombocyte suspension, and 44.34 for fresh frozen plasma. The main indications for requesting blood products were gastrointestinal bleeding and anemia. Specifically, 30.04 of erythrocyte suspensions, 31.9 of thrombocyte suspensions, and 60.56 of fresh frozen plasma were used for patients with gastrointestinal bleeding. In trauma patients, 12.75 of requested erythrocyte suspensions, 0.083 of thrombocyte suspensions, and 13.89 of fresh frozen plasma were utilized. Conclusion: Excessive requests for blood products in the emergency department can misuse resources. The transfusion committee should develop specialized strategies and increase physician awareness to reduce unnecessary requests and optimize resource utilization.

 Amaç: Acil servis kan ürünü istemleri artıyor, ancak aşırı olup olmadığı belirsizdir. Acil hekimleri tarafından yapılan kan ürünü istemlerini ve kullanım oranlarını inceleyerek kan ürünleri istemlerinin aşırı olup olmadığını tespit etmeyi amaçladık. Gereç ve Yöntem: Bu prospektif, gözlemsel ve tek merkezli çalışma, beş ay içinde üçüncü basamak bir yetişkin acil servisine başvuran 18 yaş ve üzeri hastaların demografik verilerini, kan transfüzyonu endikasyonlarını ve transfüzyon oranlarını incelemiştir. Bulgular: Bin dört yüz yetmiş beş kan ürünü istemi hasta başına ortalama 6,92 ünite incelendi. Bu istemlerin 63,1i kullanılmadı. Transfüzyon oranları eritrosit süspansiyonu için 40,89, trombosit süspansiyonu için 25,61 ve taze donmuş plazma için 44,34 idi. Kan ürünleri istemenin ana endikasyonları gastrointestinal kanama ve anemiydi. Gastrointestinal kanaması olan hastalarda spesifik olarak eritrosit süspansiyonlarının 30,04ü, trombosit süspansiyonlarının 31,9u ve taze donmuş plazmaların 60,56sı kullanıldı. Travma hastalarında istenen eritrosit süspansiyonlarının 12,75i, trombosit süspansiyonlarının 0,083ü ve taze donmuş plazmaların 13,89u kullanıldı. Sonuç: Acil serviste kan ürünlerine yönelik aşırı istemler, kaynakların yanlış kullanılmasına neden olabilir. Transfüzyon komitesi, gereksiz istekleri azaltmak ve kaynak kullanımını optimize etmek için özel stratejiler geliştirmeli ve hekim farkındalığını arttırmalıdır.

Article Details

Evaluation of Blood Product Requests in the Emergency Department: A Prospective Observational Study

Authors:

Yasemin Özdamar | Mehmet Cihat Demir | İlter Ağaçkıran | Nalan Metin Aksu

Publisher:

Hitit University

Main Topics:

Acil Tıp

Journal:

Hitit Medical Journal Vol.6 Issue 2, pp.178-185

Document Type:

Article

Publication Date:

6/2024

Document Language:

English

Document ID (Org No.):

2001321970

pISSN:

2687-4717

Erythrocyte suspension

blood products

fresh frozen plasma

resource utilization

transfusion

thrombocyte suspensionEritrosit süspansiyonu

kan ürünleri

kaynak kullanımı

taze donmuş plazma

transfüzyon

trombosit süspansiyonu

Issues

Article Details

Authors: Yasemin Özdamar | Mehmet Cihat Demir | İlter Ağaçkıran | Nalan Metin Aksu

Publisher: Hitit University

Main Topics: Acil Tıp

Journal: Hitit Medical Journal Vol.6 Issue 2, pp.178-185

Document Type: Article

Publication Date: 6/2024

Document Language: English

Document ID (Org No.): 2001321970

pISSN: 2687-4717

Issues

Authors:

Yasemin Özdamar | Mehmet Cihat Demir | İlter Ağaçkıran | Nalan Metin Aksu

Publisher:

Hitit University

Main Topics:

Acil Tıp

Journal:

Hitit Medical Journal Vol.6 Issue 2, pp.178-185

Document Type:

Article

Publication Date:

6/2024

Document Language:

English

Document ID (Org No.):

2001321970

pISSN:

2687-4717