P347 Blood transfusion in NICU. (June 2019)

• Record Type: Journal Article
• Authors: saeidi, Reza; Izanloo, Azra; Reza Tabatabaei, Syed Ali
• Is Part Of: Archives of disease in childhood. Volume 104:(2019)Supplement 3
• Page Start: A295
• Page End: A295
• Publication Date: 2019-06
• Subjects: Transfused Blood -- NICU -- Transfusion; Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/archdischild-2019-epa.694
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : Introduction: Blood products transfusion is of critical importance to the care of sick and premature infants.Considering the significant drop in hemoglobin level due to the physiological factors after birth till the tenth to twelfth week of life, this study aimed to evaluate the volume of transfused blood in NICU at privet hospital, Mashhad, Iran during 6 years. Materials and methods: In this cross sectional study, all the infants admitted to NICU of the hospital (2011–2017) were evaluated in terms of the volume of transfused blood. 34% of 24183 patients in this ward were female. 5% of them were preterm. More than 6% weighted less than 2500 gram. Results: Of all the admitted patients in this ward, 569 subjects received blood and the related products, most of which 51% (291 neonates) received FFP, and the least 14% (80 neonates) needed PLT. Meanwhile, more than 27% (159 neonates) received PC. It should be noted that most of the neonates (35%) were reported with blood type O + and the least (1.5%) with AB - . Conclusion: Regarding the high volume of transfused blood in NICU, it is essential to focus our attention on the appropriate use of blood and blood products as well as the prevention of transfusion- associated infections. Although almost more than 70% of NICU patients require less than 20 cc blood, the adult blood bags are used for this purpose and the fairly large quantities of the blood are discarded. Therefore, it is suggested a special blood bag is designed for neonatal transfusion.