Status survey of uncrossmatched type O suspended RBCs in patients with emergency transfusion

[Objective] To investigate the implementation of emergency transfusion strategy of uncrossmatched type O suspended RBCs based on the single-center clinical practice, which is "emergency transfusion is initiated by the authorized doctor of the emergency department, and no more than 4 U of type O...

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Main Authors: PENG Zhuoyue, XU Shilan, YANG Xinxin, CHEN Chunxia, TAN Bin
Format: Article
Language:zho
Published: Institute of Blood Transfusion of Chinese Academy of Medical Sciences 2025-01-01
Series:Zhongguo shuxue zazhi
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Online Access:https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.01.008&lang=en
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author PENG Zhuoyue
XU Shilan
YANG Xinxin
CHEN Chunxia
TAN Bin
author_facet PENG Zhuoyue
XU Shilan
YANG Xinxin
CHEN Chunxia
TAN Bin
author_sort PENG Zhuoyue
collection DOAJ
description [Objective] To investigate the implementation of emergency transfusion strategy of uncrossmatched type O suspended RBCs based on the single-center clinical practice, which is "emergency transfusion is initiated by the authorized doctor of the emergency department, and no more than 4 U of type O uncrossmatched suspended RBCs are issued within 15 minutes in the transfusion department"(referred as the Practice), so as to provide reference for blood management. [Methods] A retrospective analysis of the information of patients who received uncrossmatched type O suspended RBCs in West China Hospital of Sichuan University from August 2019 to April 2024 was conducted. The analysis included reasons for emergency blood transfusion, time of receiving transfusion application and blood distribution, total bilirubin, indirect bilirubin, lactate dehydrogenase before and after transfusion, blood group of patients, and disease outcome. [Results] From August 2019 to April 2024, 39 cases applied for emergency transfusion of type O suspended RBCs, and a total of 90 U uncrossmatched suspended RBCs were transfused. All patients were Rh(D) positive, including 14 cases of blood group A, 6 cases of blood group B, 16 cases of blood group O, 2 cases of blood group AB, one case of undetermined blood group, and 2 cases with positive antibody screening. The main cause of emergency transfusion of type O suspended RBCs was traffic accident, accounting for 46% (18/39), with a mortality rate at 51.28% (20/39). The cause of death was primary injury, and no adverse reactions were reported. There was no significant difference in total bilirubin (TBIL), indirect bilirubin (IBIL) and lactate dehydrogenase (LDH) before and after blood transfusion (P>0.05). The median duration from admission to receiving transfusion application was 30.20 minutes, and 5.30 minutes from receipt of the application to blood distribution. [Conclusion] The single-center based Practice is safe, but there is room for optimization before the link of blood transfusion application sent to the transfusion department when applying for emergency transfusion of type O suspended RBCs.
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spelling doaj-art-70ee076a9c284144a42fc88850c8685a2025-01-27T01:46:11ZzhoInstitute of Blood Transfusion of Chinese Academy of Medical SciencesZhongguo shuxue zazhi1004-549X2025-01-01381485310.13303/j.cjbt.issn.1004-549x.2025.01.0081004-549X(2025)1-0048-06Status survey of uncrossmatched type O suspended RBCs in patients with emergency transfusionPENG Zhuoyue0XU Shilan1YANG Xinxin2CHEN Chunxia3TAN Bin4Department of Blood Transfusion, West China Hospital of Sichuan University, Chengdu 610041, ChinaDepartment of Blood Transfusion, West China Hospital of Sichuan University, Chengdu 610041, ChinaDepartment of Blood Transfusion, West China Hospital of Sichuan University, Chengdu 610041, ChinaDepartment of Blood Transfusion, West China Hospital of Sichuan University, Chengdu 610041, ChinaDepartment of Blood Transfusion, West China Hospital of Sichuan University, Chengdu 610041, China[Objective] To investigate the implementation of emergency transfusion strategy of uncrossmatched type O suspended RBCs based on the single-center clinical practice, which is "emergency transfusion is initiated by the authorized doctor of the emergency department, and no more than 4 U of type O uncrossmatched suspended RBCs are issued within 15 minutes in the transfusion department"(referred as the Practice), so as to provide reference for blood management. [Methods] A retrospective analysis of the information of patients who received uncrossmatched type O suspended RBCs in West China Hospital of Sichuan University from August 2019 to April 2024 was conducted. The analysis included reasons for emergency blood transfusion, time of receiving transfusion application and blood distribution, total bilirubin, indirect bilirubin, lactate dehydrogenase before and after transfusion, blood group of patients, and disease outcome. [Results] From August 2019 to April 2024, 39 cases applied for emergency transfusion of type O suspended RBCs, and a total of 90 U uncrossmatched suspended RBCs were transfused. All patients were Rh(D) positive, including 14 cases of blood group A, 6 cases of blood group B, 16 cases of blood group O, 2 cases of blood group AB, one case of undetermined blood group, and 2 cases with positive antibody screening. The main cause of emergency transfusion of type O suspended RBCs was traffic accident, accounting for 46% (18/39), with a mortality rate at 51.28% (20/39). The cause of death was primary injury, and no adverse reactions were reported. There was no significant difference in total bilirubin (TBIL), indirect bilirubin (IBIL) and lactate dehydrogenase (LDH) before and after blood transfusion (P>0.05). The median duration from admission to receiving transfusion application was 30.20 minutes, and 5.30 minutes from receipt of the application to blood distribution. [Conclusion] The single-center based Practice is safe, but there is room for optimization before the link of blood transfusion application sent to the transfusion department when applying for emergency transfusion of type O suspended RBCs.https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.01.008&lang=enemergency blood transfusionuncrossmatchedtype o suspended rbcshemolytic transfusion reaction
spellingShingle PENG Zhuoyue
XU Shilan
YANG Xinxin
CHEN Chunxia
TAN Bin
Status survey of uncrossmatched type O suspended RBCs in patients with emergency transfusion
Zhongguo shuxue zazhi
emergency blood transfusion
uncrossmatched
type o suspended rbcs
hemolytic transfusion reaction
title Status survey of uncrossmatched type O suspended RBCs in patients with emergency transfusion
title_full Status survey of uncrossmatched type O suspended RBCs in patients with emergency transfusion
title_fullStr Status survey of uncrossmatched type O suspended RBCs in patients with emergency transfusion
title_full_unstemmed Status survey of uncrossmatched type O suspended RBCs in patients with emergency transfusion
title_short Status survey of uncrossmatched type O suspended RBCs in patients with emergency transfusion
title_sort status survey of uncrossmatched type o suspended rbcs in patients with emergency transfusion
topic emergency blood transfusion
uncrossmatched
type o suspended rbcs
hemolytic transfusion reaction
url https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.01.008&lang=en
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AT yangxinxin statussurveyofuncrossmatchedtypeosuspendedrbcsinpatientswithemergencytransfusion
AT chenchunxia statussurveyofuncrossmatchedtypeosuspendedrbcsinpatientswithemergencytransfusion
AT tanbin statussurveyofuncrossmatchedtypeosuspendedrbcsinpatientswithemergencytransfusion