KLI

응급수혈 프로토콜을 통한 적혈구 수혈의 안전성 연구

Metadata Downloads
Abstract
Background: Pretransfusion testing is vital for safe transfusion. However, in situations without time to perform sufficient testing, all or part of the pretransfusion testing may be skipped to issue blood quickly. This study evaluated the safety of red blood cell (RBC) transfusion released by an emergency blood transfusion protocol through retrospective analysis at a tertiary hospital for eight years.
Methods: All RBC transfusions following the emergency blood transfusion protocol from 2011 to 2018 at Seoul National University Hospital were included in the study. Crossmatching and unexpected antibody screening test results conducted after RBC release and the occurrence of hemolytic transfusion reactions were analyzed.
Results: A total of 1,541 cases (5,299 RBCs issued) of emergency blood transfusion were identified. RBCs were issued after performing the immediate spin crossmatch without an unexpected antibody screening test in most cases (1,443; 93.64%), while RBCs were issued with no pretransfusion testing in 98 cases (6.36%). Antibody screening tests performed after the issue of RBCs showed that 17 (1.1%) cases were positive. Two units of RBCs from two different cases showed positive antiglobulin crossmatch test results. However, none of them were suspected to be associated with a hemolytic transfusion reaction.
Conclusion: The incidence of incompatible RBC release was very low in patients receiving RBC transfusion through the emergency blood transfusion protocol suggesting it can be used safely with minimal risk of hemolytic transfusion reactions caused by incompatible blood transfusions.
Author(s)
강지상고대현김형석박재현이지교정기욱정유선한규섭
Issued Date
2021
Type
Article
Keyword
Pretransfusion testingEmergency blood transfusion protocolUnexpected antibodyHemolytic transfusion reaction
DOI
10.17945/kjbt.2021.32.3.163
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8599
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_nrf_kci_oai_kci_go_kr_ARTI_9909287&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,%EC%9D%91%EA%B8%89%EC%88%98%ED%98%88%20%ED%94%84%EB%A1%9C%ED%86%A0%EC%BD%9C%EC%9D%84%20%ED%86%B5%ED%95%9C%20%EC%A0%81%ED%98%88%EA%B5%AC%20%EC%88%98%ED%98%88%EC%9D%98%20%EC%95%88%EC%A0%84%EC%84%B1%20%EC%97%B0%EA%B5%AC&offset=0&pcAvailability=true
Publisher
대한수혈학회지
Location
대한민국
Language
한국어
ISSN
1226-9336
Citation Volume
32
Citation Number
3
Citation Start Page
163
Citation End Page
173
Appears in Collections:
Medicine > Medicine
Authorize & License
  • Authorize공개
Files in This Item:
  • There are no files associated with this item.

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.