11. An Observational Study and Analysis of Anaemia and Red Blood Cell Transfusion Requirement in Various Intensive Care Unit in Tertiary Care Centre in Southern Rajasthan

Satyendra Singh, Sanjay Prakash, Jyoti Kala Bhati, Vandana Chhabra

ABSTRACT

Background: A proper identification of anemia and its underlying causes in ICU patients is required because various disorders may necessitate different diagnostic and therapeutic management strategies. Objectives: To study, prevalence of anemia and red blood cell transfusion among critically ill patients in various ICUs and its contribution to ICUs related morbidity and mortality. Material & Methods: A Hospital based observational study planned, including patients admitted in various ICUs and who develop anemia and required an RBC transfusion when they stay in ICU from the period of 1 July 2015 to 31 December. Complete hemogram noted on the first day, third day and at the time of discharge or transfer from ICU. Results: The present study showed the total patients are admitted (MICU, SICU &TICU) are 1485 & 462 units of PRBC was used during study period and Mean Hb at the time of admission in ICU was 9.20 gm% and st mean Hb before at 1 transfusion was 7.57gm%. In this study observed that 54(35.76%) patients are CRP reactive that means they develop sepsis, which is cause for anemia and PRBC transfusion and patients who had acute bleeding and length of stay was<=3 days had 1.75 ±1.14 mean units of PRBC transfused and who had not acute bleeding 1.53 ±0.84 units transfused. Conclusion: This study has highlighted that there is a scope for improvement of PRBC transfusion practices by strictly following the indications for use of PRBC in ICUs, and promoting the use of autologous blood during routine surgery to prevent sepsis and anemia in ICUs.

Key-words: Anaemia, Transfusion, Blood Donor, Haemoglobin.

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