[Prospective assessment of information programme for blood transfusion in critical care patients].
OBJECTIVE
Assessment of oral and written information programme for blood transfusion in critical care patients and study of factors associated with the biological follow-up.


METHODS
Prospective study in one intensive care unit.


METHODS
All blood recipients in 2000 were orally informed of transfusion process. In regard to the French haemovigilance regulation, written paper was given to the patient or passed on to the next hospital physician. Four months later, a questionnaire was proposed to the patients.


RESULTS
In 2000, blood transfusion was performed for 102 patients and data were obtained for 59 patients (34 number of survivor patients, follow-up was impossible for eight and one refused the questionnaire). Quality assurance programme permit a global orally and written information of critical care patients. However, thirty-eight patients (64%) remembered oral information. Patients were younger (55 +/- 22 vs 68 +/- 13, OR = 1.04; p = 0.03). Biological follow-up was obtained for 22 patients (37%), particularly when written information was directly given to the patient (22/24 vs 2/35; OR = 335; p < 0.0001).


CONCLUSIONS
Biological follow-up was obtained for only one third of blood recipients, because, in first, only 64% of critical care patients remembered oral information, particularly the younger patients. Perhaps, written information systematically given to the patient could permit a high biological follow-up. This study confirmed the lack of sensitivity of all hospital physician for haemovigilance.
Desachy
A
A
Service de réanimation polyvalente, centre hospitalier d'Angoulême, 16470 Saint-Michel, France. arnaud.desachy@ch-angouleme.rss.fr
Vuagnat
A
A
Massé
S
S
Baudin
O
O
Vacher
P
P
Calvat
S
S
Texier
J C
JC
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001803:Blood Transfusion; D003422:Critical Care / Q000458:organization & administration*; D004282:Documentation; D005260:Female; D005500:Follow-Up Studies; D005602:France; D006751:Hospital Information Systems; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011785:Quality Assurance, Health Care; D011795:Surveys and Questionnaires