BLOOD-TRANSFUSION PRACTICES IN MWANZA REGION, TANZANIA
BLOOD-TRANSFUSION PRACTICES IN MWANZA REGION, TANZANIA
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DOI：
10.1097/00002030-199303000-00013
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发表时间：
1993-03-01
期刊：
影响因子：
3.8
通讯作者：
BORGDORFF, MW
中科院分区：
文献类型：
--
作者：
GUMODOKA, B;VOS, J;BORGDORFF, MW
目的：要确定输血的比例在姆万扎地区，坦桑尼亚可以避免。方法：共1029例患者接受输血的8家医院之一进行了分析。两套标准，可避免输血的基础上，文献review.Results：以下百分比的输血在五组患者被认为是可避免的：手术患者，8-24%;孕妇，8-10%; 5岁以下的儿童，31-52%; 5-14岁的儿童，23-25%;和成人，16- 25%。总的来说，23-39%的输血是可以避免的。至少75%的所有可避免的输血是5岁以下的儿童。结论：输血的最大减少可以在5岁以下的儿童，特别是在1岁以下的婴儿。在这项研究之后，输血处方医生起草了关于输血的临时准则，并在姆万扎地区的所有医院中采用。已经进行了一项评价研究，目前正在进行分析。
Objective: To determine what proportion of blood transfusions given in Mwanza Region, Tanzania could be avoided.Methods: A total of 1029 patients who received a blood transfusion in one of eight hospitals were analysed. Two sets of criteria for avoidable blood transfusions were determined, on the basis of a literature review.Results: The following percentages of blood transfusions in five groups of patients were found to be avoidable: operated patients, 8-24%; pregnant women, 8-10%; children aged under 5 years, 31-52%; children aged 5-14 years, 23-25%; and adults, 16-25%. Overall, 23-39% of blood transfusions were avoidable. At least 75% of all avoidable blood transfusions were to children aged under 5 years.Conclusions: The largest reduction of blood transfusions can be achieved in children aged under 5 years, especially in infants aged less than 1 year. Following this study, blood transfusion prescribers drew up provisional guidelines on blood transfusions, which have been introduced in all hospitals in Mwanza Region. An evaluation study has been carried out and is being analysed.