Evaluation of erythrocyte concentrate prescription in a university hospital center

This prospective study, based on declaratory data, evaluates the appropriateness of red blood cell transfusion prescriptions in a university hospital. Local recommendations written after data collection and the analysis of prescriptions using a blinded method limited the bias related to the declarat...

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Bibliographic Details
Published in:Transfusion clinique et biologique : journal de la Société française de transfusion sanguine 1999-04, Vol.6 (2), p.105
Main Authors: Reboul-Marty, J, Le Roux, G, Djoudi, R, Couilliot, M F, Casassus, P, Bentata, M, Languillat, G
Format: Article
Language:fre
Subjects:
Anemia - therapy
Erythrocyte Transfusion
France
Hemoglobins - metabolism
Hospitals, University
Humans
Multivariate Analysis
Practice Guidelines as Topic
Practice Patterns, Physicians
Prospective Studies
Surveys and Questionnaires
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Summary:This prospective study, based on declaratory data, evaluates the appropriateness of red blood cell transfusion prescriptions in a university hospital. Local recommendations written after data collection and the analysis of prescriptions using a blinded method limited the bias related to the declaratory data. The results show that the rate of unjustified prescriptions is 4.2% (95% CI: 2.2%; 6.2%). This rate is statistically (P = 0.032) lower in the department of surgery (1.3%) than in the department of medicine (5.7%). This rate tends to decrease according to the experience of the prescriber (P = 0.06) and varies significantly according to the hemoglobin levels (P = 0.03). The logistic regression, integrating these three parameters, confirms that only the hemoglobin level is significantly related (P < 0.003) to the appropriateness of RBC transfusions. This study also highlights problems not linked to prescriptions, and the hospital created a quality assurance program as a result.
ISSN:1246-7820