Clinical Characteristics of Patients with Hemoglobin Level before Red Blood Cell Transfusion Higher than Recommended Threshold in Non-surgical Departments of Peking Union Medical College Hospital
10.3969/j.issn.1674-9081.2016.05.007
- VernacularTitle:北京协和医院非手术科室红细胞输注前血红蛋白高于推荐阈值患者的临床特点
- Author:
Chan MENG
1
;
Jia GAN
;
Xue-Jun ZENG
;
Wei-Gang FANG
;
Wei-Guo ZHU
;
Jia-Lin CHEN
;
Lian-Jun BAI
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院普通内科
- Keywords:
hemoglobin before red blood cell transfusion;
hemoglobin threshold;
rational blood use;
non-surgical departments
- From:
Medical Journal of Peking Union Medical College Hospital
2016;7(5):357-361
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical characteristics of patients with hemoglobin level higher than the recommended threshold by guidelines before receiving red blood cell( RBC )transfusion in non-surgical departments of Peking Union Medical College Hospital( PUMCH). Methods One thousand patients were random-ly selected from hospitalized patients who received RBC transfusion at PUMCH between January and December in 2013. Among them,those in non-surgical departments and with hemoglobin≥70 g/L before transfusion were iden-tified,and their hemoglobin level before RBC transfusion,proportion in non-surgical patients receiving RBC trans-fusion,symptoms and signs related to anemia before transfusion were described. Results Of the 1000 patients, 270 were from non-surgical departments,and their average hemoglobin before RBC transfusion was( 63. 7 ± 11. 5) g/L. Seventy-four of the 270(27. 4%)patients had hemoglobin ≥70 g/L before RBC transfusion,inclu-ding 60(22. 2%)patients with homoglobin≥70 g/L and ﹤80 g/L,10(3. 7%)patients with homoglobin≥80 g/L and ﹤90 g/L,and 4(1. 5%)patients with hemoglobin≥90 g/L. Among the 74 patients,symptoms and signs related to anemia and decision-making of the transfusion were identified in 59 ( 79. 7%)patients’ medical records,the other 15 ( 20. 3%)patients with missing data were those with more severe conditions, multiple co-morbidities,multi-organ involvement,unstable conditions,or poor tolerance to decreasing hemoglo-bin level. Conclusions The hemoglobin threshold for RBC transfusion in non-surgical departments of PUMCH was consistent with the recommendations of both international and Chinese guidelines. Given specific conditions, RBC transfusion in those patients with hemoglobin level higher than the recommended threshold is clinically ap-propriate,but the decision-making process regrading RBC transfusion should be recorded in detail.
