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Blood Lost: A Retrospective Review of Blood Wastage from a Massive Transfusion Protocol in a Tertiary Paediatric Hospital

Background: The paediatric massive transfusion protocol (MTP) is activated in the paediatric population for both trauma and non-trauma related indications. While it helps to improve the efficiency and efficacy of the delivery of blood products, it can also result in increased wastage. We aimed to ev...

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Autores principales: Chong, Debbra, Lam, Joyce Ching Mei, Feng, Xun Yi Jasmine, Heng, Mui Ling, Mok, Yee Hui, Chiang, Li-Wei, Ng, Kee Chong, Ong, Yong-Kwang Gene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9777499/
https://www.ncbi.nlm.nih.gov/pubmed/36553244
http://dx.doi.org/10.3390/children9121799
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author Chong, Debbra
Lam, Joyce Ching Mei
Feng, Xun Yi Jasmine
Heng, Mui Ling
Mok, Yee Hui
Chiang, Li-Wei
Ng, Kee Chong
Ong, Yong-Kwang Gene
author_facet Chong, Debbra
Lam, Joyce Ching Mei
Feng, Xun Yi Jasmine
Heng, Mui Ling
Mok, Yee Hui
Chiang, Li-Wei
Ng, Kee Chong
Ong, Yong-Kwang Gene
author_sort Chong, Debbra
collection PubMed
description Background: The paediatric massive transfusion protocol (MTP) is activated in the paediatric population for both trauma and non-trauma related indications. While it helps to improve the efficiency and efficacy of the delivery of blood products, it can also result in increased wastage. We aimed to evaluate the wastage rates from our paediatric MTP activations from 2013 to 2018. Method: As part of an audit, we retrospectively reviewed the records of the paediatric patients who had MTP activations. We collected the following data: reason for MTP activation, weight of patient, number of cycles of MTP required, blood products used, blood products wasted, deviation from our institution’s recommended MTP blood product ratio, and reason for wastage. Result: We had 26 paediatric MTP activations within the audit period. There was an overall wastage rate of 1.5%, with wastage occurring in 3 out of 26 patients. The reason for all wastage was demise of the patient. Most patients’ transfusion ratios deviated from our institution’s MTP protocol. Conclusion: Our wastage rates are low likely because of clear MTP activation guidelines and a flexible MTP workflow.
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spelling pubmed-97774992022-12-23 Blood Lost: A Retrospective Review of Blood Wastage from a Massive Transfusion Protocol in a Tertiary Paediatric Hospital Chong, Debbra Lam, Joyce Ching Mei Feng, Xun Yi Jasmine Heng, Mui Ling Mok, Yee Hui Chiang, Li-Wei Ng, Kee Chong Ong, Yong-Kwang Gene Children (Basel) Article Background: The paediatric massive transfusion protocol (MTP) is activated in the paediatric population for both trauma and non-trauma related indications. While it helps to improve the efficiency and efficacy of the delivery of blood products, it can also result in increased wastage. We aimed to evaluate the wastage rates from our paediatric MTP activations from 2013 to 2018. Method: As part of an audit, we retrospectively reviewed the records of the paediatric patients who had MTP activations. We collected the following data: reason for MTP activation, weight of patient, number of cycles of MTP required, blood products used, blood products wasted, deviation from our institution’s recommended MTP blood product ratio, and reason for wastage. Result: We had 26 paediatric MTP activations within the audit period. There was an overall wastage rate of 1.5%, with wastage occurring in 3 out of 26 patients. The reason for all wastage was demise of the patient. Most patients’ transfusion ratios deviated from our institution’s MTP protocol. Conclusion: Our wastage rates are low likely because of clear MTP activation guidelines and a flexible MTP workflow. MDPI 2022-11-23 /pmc/articles/PMC9777499/ /pubmed/36553244 http://dx.doi.org/10.3390/children9121799 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chong, Debbra
Lam, Joyce Ching Mei
Feng, Xun Yi Jasmine
Heng, Mui Ling
Mok, Yee Hui
Chiang, Li-Wei
Ng, Kee Chong
Ong, Yong-Kwang Gene
Blood Lost: A Retrospective Review of Blood Wastage from a Massive Transfusion Protocol in a Tertiary Paediatric Hospital
title Blood Lost: A Retrospective Review of Blood Wastage from a Massive Transfusion Protocol in a Tertiary Paediatric Hospital
title_full Blood Lost: A Retrospective Review of Blood Wastage from a Massive Transfusion Protocol in a Tertiary Paediatric Hospital
title_fullStr Blood Lost: A Retrospective Review of Blood Wastage from a Massive Transfusion Protocol in a Tertiary Paediatric Hospital
title_full_unstemmed Blood Lost: A Retrospective Review of Blood Wastage from a Massive Transfusion Protocol in a Tertiary Paediatric Hospital
title_short Blood Lost: A Retrospective Review of Blood Wastage from a Massive Transfusion Protocol in a Tertiary Paediatric Hospital
title_sort blood lost: a retrospective review of blood wastage from a massive transfusion protocol in a tertiary paediatric hospital
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9777499/
https://www.ncbi.nlm.nih.gov/pubmed/36553244
http://dx.doi.org/10.3390/children9121799
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