[Evaluation of erythrocyte concentrate prescription in a university hospital center].
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.
Reboul-Marty
J
J
Unité de santé publique, Hôpital Avicenne, Bobigny, France.
Le Roux
G
G
Djoudi
R
R
Couilliot
M F
MF
Casassus
P
P
Bentata
M
M
Languillat
G
G
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
D006454:Hemoglobins