Audit of Platelets Usage among Patients: A Descriptive Study of Various Platelet Concentrates
Journal Title: International Blood Research & Reviews - Year 2016, Vol 6, Issue 4
Abstract
Background: Transfusion services are aimed to provide only those components which patients require and keep the rest for others. Platelet transfusion is critical due to lack of alternative; and therefore should be used rationally. Aim: To elucidate the rational use of different platelet concentrates, its comparative efficacy in thrombocytopenia patients at our tertiary care hospital. Materials and Methods: This prospective cross-sectional two-year study was carried out at a tertiary care hospital in India. Relevant clinical findings, pre/post transfusion platelet count along with complete haemogram and diagnosis of patients were considered in compiling the data. Quality of Platelet was maintained as per the standard protocol of American Association of Blood Bank (AABB). Results: Total 4157 units of platelet concentrates from recruited donors were prepared, where 3483 (83.97%) units were utilized and 674 (16.21%) were unfit for transfusion. 3483 fit Platelet concentrates were transfused to 1225 patients. Out of 3483 transfusions, 1080(31%) were therapeutic and 2403(69%) were prophylactic. In the study 3104 Random Donor Platelet (RDP) and 379 Single Donor Platelets (SDP) were transfused to 978 and 247 patients respectively. Mean absolute increase in platelet count was 4.8x109/L (SD= 2.9x109/L) for RDP and for SDP it was 33.2x109/L (SD=6.0x109/L). Out of 3483 platelets transfusion, about 80% were found to be rational according to British Committee for Standards in Haematology (BCSH) criteria. Conclusion: A healthy rationality of 80% was observed in the present study. Platelet concentrates should be used rationally and scientifically as per proven criteria because it has no alternative.
Authors and Affiliations
Dharmesh Chandra Sharma, Lokesh Tripathi, Poonam Woike, Sunita Rai, Rajesh Gaur
Keywords
Related Articles
- EP ID EP242767
- DOI 10.9734/IBRR/2016/29327
- Views 152
- Downloads 0
Type the Characteristics of Pacemaker (PM) Patients Admitted in Stroke Unit: The Stroke Pacemaker Study (SPACES)
Aims: According to recent surveys, despite health care authority’s budget reductions, the total amount of PM implants increased worldwide. Even if the diffusion of these devices is large no data are available concerning...
Immunological and Hematological Profiles of Human Immunodeficiency Virus Positive Patients on Antiretroviral Treatment Followed at Institute Pasteur of Ivory Coast
Aims: The immune system and some of the organs of HIV positive patients may be subject of some disruptions caused by Anti-Retroviral Treatment (ART). This study has been initiated in order to assess the impact of ART on...
An Immunohistochemical Study of PRAME Expression in Non-hodgkin’s Lymphoma
Aim: Preferentially expressed antigen of melanoma (PRAME) is a cancer-testis antigen with very low/no expression in normal tissues. PRAME is an important target for tumor immunotherapy. Prognostic and in some tumors pred...
Haematological Changes Associated With Hepatitis E Virus Seropositivity among Human and Animal Subjects in Plateau State, Nigeria
Aim: To investigate the haematological manifestations of Hepatitis E Virus (HEV) seropositivity. Study Design: Cross sectional study. We included 592 subjects in the study; (426 humans and 166 animals). Humans were cate...
Prevalence of Anaemia among Children Attending Paediatrics Department of UDUTH, Sokoto, North-Western Nigeria
Introduction: Anaemia is a global public health problem. It affects more than 56 million people globally, two thirds of them being from developing countries. This study was designed to investigate the prevalence and type...