Evaluation of platelet concentrate prescription in pediatric patients at a tertiary care hospital

ABSTRACT Objective: To verify the adequacy of platelet concentrate prescription by pediatricians in different pediatric sectors of a general hospital. Methods: A cross-sectional study evaluating 218/227 platelet concentrate records in children and adolescents (zero to 13 years old), from January 2007 to April 2015, by the pediatricians of the emergency room, sick bay and intensive care unit. The requisitions were excluded in patients with hematological diseases and those without the number of platelets. Results: Children under 12 months received 98 platelet concentrates (45.2%). Most of the transfusions were prophylactic (165; 79%). Regarding the transfusion site, 39 (18%) were in the emergency room, 27 (12.4%) in the sick bay and 151 (69.6%) in the intensive care unit. The trigger, prescribed volume and platelet concentrate subtype were adequate in 59 (28.2%), 116 (53.5%) and 209 (96.3%) of the transfusions, respectively. Patients with hemorrhage presented adequacy in 42 (95.5%), while children without bleeding presented in 17 (10.3%). The most common inadequacy related to volume was the prescription above recommendation (95; 43.8%). Eight platelet concentrates were prescribed with subtype requests without indication. Conclusion: The results obtained in this study showed that transfusion of platelet concentrate occurred more adequately in children with active bleeding compared to prophylactic transfusion. There was a tendency to prescribe high volumes and platelet subtypes not justified according to current protocols. The teaching of transfusion medicine should be more valued at undergraduate and medical residency.

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Main Authors: Victorino,Camila Augusta, Faria,João Carlos Pina, Suano-Souza,Fabíola Isabel, Sarni,Roseli Oselka Saccardo
Format: Digital revista
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2019
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082019000400204
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spelling oai:scielo:S1679-450820190004002042019-08-16Evaluation of platelet concentrate prescription in pediatric patients at a tertiary care hospitalVictorino,Camila AugustaFaria,João Carlos PinaSuano-Souza,Fabíola IsabelSarni,Roseli Oselka Saccardo Transfusion medicine Platelet transfusion Child Emergency treatment Hemorrhage ABSTRACT Objective: To verify the adequacy of platelet concentrate prescription by pediatricians in different pediatric sectors of a general hospital. Methods: A cross-sectional study evaluating 218/227 platelet concentrate records in children and adolescents (zero to 13 years old), from January 2007 to April 2015, by the pediatricians of the emergency room, sick bay and intensive care unit. The requisitions were excluded in patients with hematological diseases and those without the number of platelets. Results: Children under 12 months received 98 platelet concentrates (45.2%). Most of the transfusions were prophylactic (165; 79%). Regarding the transfusion site, 39 (18%) were in the emergency room, 27 (12.4%) in the sick bay and 151 (69.6%) in the intensive care unit. The trigger, prescribed volume and platelet concentrate subtype were adequate in 59 (28.2%), 116 (53.5%) and 209 (96.3%) of the transfusions, respectively. Patients with hemorrhage presented adequacy in 42 (95.5%), while children without bleeding presented in 17 (10.3%). The most common inadequacy related to volume was the prescription above recommendation (95; 43.8%). Eight platelet concentrates were prescribed with subtype requests without indication. Conclusion: The results obtained in this study showed that transfusion of platelet concentrate occurred more adequately in children with active bleeding compared to prophylactic transfusion. There was a tendency to prescribe high volumes and platelet subtypes not justified according to current protocols. The teaching of transfusion medicine should be more valued at undergraduate and medical residency.info:eu-repo/semantics/openAccessInstituto Israelita de Ensino e Pesquisa Albert Einsteineinstein (São Paulo) v.17 n.4 20192019-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082019000400204en10.31744/einstein_journal/2019ao4720
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language English
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author Victorino,Camila Augusta
Faria,João Carlos Pina
Suano-Souza,Fabíola Isabel
Sarni,Roseli Oselka Saccardo
spellingShingle Victorino,Camila Augusta
Faria,João Carlos Pina
Suano-Souza,Fabíola Isabel
Sarni,Roseli Oselka Saccardo
Evaluation of platelet concentrate prescription in pediatric patients at a tertiary care hospital
author_facet Victorino,Camila Augusta
Faria,João Carlos Pina
Suano-Souza,Fabíola Isabel
Sarni,Roseli Oselka Saccardo
author_sort Victorino,Camila Augusta
title Evaluation of platelet concentrate prescription in pediatric patients at a tertiary care hospital
title_short Evaluation of platelet concentrate prescription in pediatric patients at a tertiary care hospital
title_full Evaluation of platelet concentrate prescription in pediatric patients at a tertiary care hospital
title_fullStr Evaluation of platelet concentrate prescription in pediatric patients at a tertiary care hospital
title_full_unstemmed Evaluation of platelet concentrate prescription in pediatric patients at a tertiary care hospital
title_sort evaluation of platelet concentrate prescription in pediatric patients at a tertiary care hospital
description ABSTRACT Objective: To verify the adequacy of platelet concentrate prescription by pediatricians in different pediatric sectors of a general hospital. Methods: A cross-sectional study evaluating 218/227 platelet concentrate records in children and adolescents (zero to 13 years old), from January 2007 to April 2015, by the pediatricians of the emergency room, sick bay and intensive care unit. The requisitions were excluded in patients with hematological diseases and those without the number of platelets. Results: Children under 12 months received 98 platelet concentrates (45.2%). Most of the transfusions were prophylactic (165; 79%). Regarding the transfusion site, 39 (18%) were in the emergency room, 27 (12.4%) in the sick bay and 151 (69.6%) in the intensive care unit. The trigger, prescribed volume and platelet concentrate subtype were adequate in 59 (28.2%), 116 (53.5%) and 209 (96.3%) of the transfusions, respectively. Patients with hemorrhage presented adequacy in 42 (95.5%), while children without bleeding presented in 17 (10.3%). The most common inadequacy related to volume was the prescription above recommendation (95; 43.8%). Eight platelet concentrates were prescribed with subtype requests without indication. Conclusion: The results obtained in this study showed that transfusion of platelet concentrate occurred more adequately in children with active bleeding compared to prophylactic transfusion. There was a tendency to prescribe high volumes and platelet subtypes not justified according to current protocols. The teaching of transfusion medicine should be more valued at undergraduate and medical residency.
publisher Instituto Israelita de Ensino e Pesquisa Albert Einstein
publishDate 2019
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082019000400204
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