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rdf:type |
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lifeskim:mentions |
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pubmed:issue |
6
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pubmed:dateCreated |
1994-3-28
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pubmed:abstractText |
Records of 497 patients who received a blood transfusion in Mwanza Region, Tanzania, were analyzed in order to estimate the proportion of avoidable blood transfusions. This was part of a more comprehensive study which aims at the reduction of transfusion-associated HIV transmission. Blood transfusion recipients were divided into the following groups: operated patients (12%), pregnant women (8%), under-fives (62%), children aged 5-14 years (5%) and adults (13%). Two sets of criteria were applied to estimate the number of avoidable blood transfusions. The total proportion of avoidable blood transfusions using these criteria were 32 and 56%, respectively. If the strictest criteria were applied the proportion of avoidable blood transfusions in operated patients was 44%, in pregnant women with chronic anaemia 18%, in under-fives 62%, in children 31% and in adults 51%. It was concluded that a major reduction in the number of blood transfusions could be achieved, in particular in under-fives.
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pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Africa South Of The Sahara,
http://linkedlifedata.com/resource/pubmed/keyword/Age Factors,
http://linkedlifedata.com/resource/pubmed/keyword/BLOOD TRANSFUSION,
http://linkedlifedata.com/resource/pubmed/keyword/Biology,
http://linkedlifedata.com/resource/pubmed/keyword/CHILD,
http://linkedlifedata.com/resource/pubmed/keyword/Delivery Of Health Care,
http://linkedlifedata.com/resource/pubmed/keyword/Demographic Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/Eastern Africa,
http://linkedlifedata.com/resource/pubmed/keyword/English Speaking Africa,
http://linkedlifedata.com/resource/pubmed/keyword/HOSPITALS,
http://linkedlifedata.com/resource/pubmed/keyword/Health,
http://linkedlifedata.com/resource/pubmed/keyword/Health Facilities,
http://linkedlifedata.com/resource/pubmed/keyword/Hemic System,
http://linkedlifedata.com/resource/pubmed/keyword/Hemoglobin Level,
http://linkedlifedata.com/resource/pubmed/keyword/Hiv Infections--transmission,
http://linkedlifedata.com/resource/pubmed/keyword/Information,
http://linkedlifedata.com/resource/pubmed/keyword/Information Processing,
http://linkedlifedata.com/resource/pubmed/keyword/Physiology,
http://linkedlifedata.com/resource/pubmed/keyword/Population,
http://linkedlifedata.com/resource/pubmed/keyword/Population Characteristics,
http://linkedlifedata.com/resource/pubmed/keyword/Pregnant Women,
http://linkedlifedata.com/resource/pubmed/keyword/RECORDS,
http://linkedlifedata.com/resource/pubmed/keyword/Retrospective Studies,
http://linkedlifedata.com/resource/pubmed/keyword/Studies,
http://linkedlifedata.com/resource/pubmed/keyword/TANZANIA,
http://linkedlifedata.com/resource/pubmed/keyword/Technical Report,
http://linkedlifedata.com/resource/pubmed/keyword/Treatment,
http://linkedlifedata.com/resource/pubmed/keyword/Viral Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/Youth
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pubmed:language |
eng
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pubmed:journal |
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pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0041-3232
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pubmed:author |
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pubmed:issnType |
Print
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pubmed:volume |
45
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
301-3
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pubmed:dateRevised |
2006-11-15
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pubmed:otherAbstract |
PIP: In the Mwanza Region, Tanzania, an analysis of evaluable, available records from 370 patients from the peripheral hospital and 127 patients from the referral hospital who received a blood transfusion during January-June 1990 was conducted to identify unnecessary blood transfusions. Guidelines the researchers used to determine whether or not a blood transfusion was avoidable were based on the hemoglobin (Hb) level (e.g. children under 5 years old = or Hb 4 g/dl for criteria A and 5 g/dl for criteria B). The blood transfusion could have been avoided in 44% of operated patients based on both sets of criteria. Two of the 11 blood transfusions given to pregnant women with chronic anemia were avoidable. Among the under 5 years olds, 62% of blood transfusions were avoidable based on criteria A and 35% were avoidable based on criteria B. 31% and 15% of blood transfusions among 5-14 year olds were avoidable based on criteria A and B, respectively. As for adults, 63% of blood transfusions were avoidable based on criteria A and 27% were avoidable based on criteria B. Overall, 32% of blood transfusions were avoidable based on criteria B and 56% based on criteria A. Since limitations undoubtedly existed for this retrospective study, the researchers have begun a prospective study. They will use the research findings to develop and implement blood transfusion guidelines in the region to reduce unnecessary blood transfusions in order to reduce transfer-associated HIV transmission.
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pubmed:meshHeading |
pubmed-meshheading:8116064-Adolescent,
pubmed-meshheading:8116064-Adult,
pubmed-meshheading:8116064-Age Factors,
pubmed-meshheading:8116064-Blood Transfusion,
pubmed-meshheading:8116064-Child,
pubmed-meshheading:8116064-Child, Preschool,
pubmed-meshheading:8116064-Female,
pubmed-meshheading:8116064-HIV Infections,
pubmed-meshheading:8116064-Hospital Records,
pubmed-meshheading:8116064-Humans,
pubmed-meshheading:8116064-Infant,
pubmed-meshheading:8116064-Pregnancy,
pubmed-meshheading:8116064-Retrospective Studies,
pubmed-meshheading:8116064-Tanzania
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pubmed:year |
1993
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pubmed:articleTitle |
Are some blood transfusions avoidable? A hospital record analysis in Mwanza Region, Tanzania.
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pubmed:affiliation |
Bugando Medical Centre, Mwanza, Tanzania.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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