Study of Appropriateness of FFP transfusions in a tertiary care centre

Authors : N Thamarai Selvi, R Revathishree, Adayalam Chandana, Dost Mohamed Khan, S C Abilash

DOI : 10.18231/j.achr.2021.003

Volume : 6

Issue : 1

Year : 2021

Page No : 12-14

Introduction: Blood transfusion is an essential part of modern health. Indiscriminate use of blood components is on the rise due to easy availability of sophisticated blood banking services. The aim of this study was to evaluate appropriate usage of Fresh frozen plasma (FFP). 
Materials and Methods: This study was conducted in a tertiary care centre. A total of 4236 blood request forms were analyzed in this study over a period of 12 months out of which 8.2% (n=349) were for FFP. Number of units requested were noted and appropriateness of requested transfusions was assessed according to the National guidelines on transfusion.
Results: A total of 4236 blood request forms were analyzed in this study, out of which 8.2% (n=349) were for FFP. Out of these 349 FFP requests, 53.9% (n=188) requests were considered appropriate, 29.8% (n=104) were considered inappropriate and 16.3% (n=57) requests could not be assessed since PTINR values were not available. Out of the 29.8% inappropriate transfusions, in 13.8% (n=48) transfusion was appropriate but number of units transfused were inappropriate and in 16% (n=56) transfusion was considered inappropriate.
Conclusion: This indicates that significant number of inappropriate transfusions were noted. This issue has to be addressed and inappropriate transfusions should be avoided. This can be achieved by regular CME programmes, educational visits to various departments and development of hospital transfusion guidelines which has to be agreed and followed by clinicians.

Keywords: Transfusion, Appropriateness, FFP.


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