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Are some blood transfusions avoidable? A hospital record analysis in Mwanza Region, Tanzania.

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.[1]

References

  1. Are some blood transfusions avoidable? A hospital record analysis in Mwanza Region, Tanzania. Vos, J., Gumodoka, B., Ng'weshemi, J.Z., Kigadye, F.C., Dolmans, W.M., Borgdorff, M.W. Tropical and geographical medicine. (1993) [Pubmed]
 
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