The Usage of Uncrossmatched Group O, Rh-Negative RBCs for Emergency Transfusion / 대한수혈학회지
Korean Journal of Blood Transfusion
; : 9-14, 2007.
Article
en Ko
| WPRIM
| ID: wpr-14270
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND: The use of uncrossmatched group O, Rh-negative RBCs has enabled immediate transfusion of patients who need critical care in life-threatening situations. We examined our 1-year experience with uncrossmatched group O, Rh-negative RBC transfusion in a tertiary care university hospital. METHODS: Uncrossmatched group O, Rh-negative RBCs were available for immediate transfusion upon request without performing any of the following pretransfusion tests: ABO and RhD typing, irregular antibody screening, crossmatching test. The characteristics of the transfused patients were studied retrospectively. RESULTS: Twenty-five patients received 56 units of uncrossmatched group O, Rh-negative RBCs from November 2005 to October 2006. An average of 2.24 units was issued to each patient, with no more than 4 units per patient being given; subsequent transfusion was done with type-specific, crossmatched blood. The average turnaround time for the release of uncrossmatched group O, Rh-negative RBCs was 1.8 minutes (mean+/-standard deviation: 1.8+/-1.96, range: 0~7 minutes). Seventeen patients died (68%), which included 16 patients who had received cardiopulmonary resuscitation. CONCLUSION: Patients admitted for traffic accident, falling down injury, gastrointestinal bleeding and aortic dissection received 72% of the emergency group O, Rh-negative RBCs, with a 72.2% mortality rate, which indicates the dire condition of these patients. The majority of RBCs for transfusion were available within 5 minutes upon request. Though group O, Rh-negative RBCs are recommended in emergency situations in which the blood group of the patient is unknown, the use of group O, Rh-positive RBCs may be an alternative blood supply, when considering the short supply of Rh-negative RBCs.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Atención Terciaria de Salud
/
Accidentes de Tránsito
/
Tamizaje Masivo
/
Estudios Retrospectivos
/
Mortalidad
/
Reanimación Cardiopulmonar
/
Cuidados Críticos
/
Urgencias Médicas
/
Hemorragia
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Screening_studies
Límite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Blood Transfusion
Año:
2007
Tipo del documento:
Article