title: [Evaluation of erythrocyte concentrate prescription in a university hospital center].
abstract: This prospective study, based on declaratory data, evaluates the appropriateness of red blood cell transfusion prescriptions in a university hospital. Local recommendations written after data collection and the analysis of prescriptions using a blinded method limited the bias related to the declaratory data. The results show that the rate of unjustified prescriptions is 4.2% (95% CI: 2.2%; 6.2%). This rate is statistically (P = 0.032) lower in the department of surgery (1.3%) than in the department of medicine (5.7%). This rate tends to decrease according to the experience of the prescriber (P = 0.06) and varies significantly according to the hemoglobin levels (P = 0.03). The logistic regression, integrating these three parameters, confirms that only the hemoglobin level is significantly related (P < 0.003) to the appropriateness of RBC transfusions. This study also highlights problems not linked to prescriptions, and the hospital created a quality assurance program as a result.
authors.affiliation: Unité de santé publique, Hôpital Avicenne, Bobigny, France.
authors.forename: J
authors.initials: J
authors.lastname: Reboul-Marty
authors.forename: G
authors.initials: G
authors.lastname: Le Roux
authors.forename: R
authors.initials: R
authors.lastname: Djoudi
authors.forename: M F
authors.initials: MF
authors.lastname: Couilliot
authors.forename: P
authors.initials: P
authors.lastname: Casassus
authors.forename: M
authors.initials: M
authors.lastname: Bentata
authors.forename: G
authors.initials: G
authors.lastname: Languillat
mesh_terms: D000740:Anemia / Q000628:therapy; D017707:Erythrocyte Transfusion; D005602:France; D006454:Hemoglobins / Q000378:metabolism; D006785:Hospitals, University; D006801:Humans; D015999:Multivariate Analysis; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011446:Prospective Studies; D011795:Surveys and Questionnaires
chemical_list: D006454:Hemoglobins