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versión On-line ISSN 1029-3019


CRUZ PORTELLES, Alain; RAMIREZ ZALDIVAR, Maicelys; JARDINES GONZALEZ, Eneida  y  RICARDO MARRERO, Celso. Transfusion requirements in a polyvalent intensive care unit for adults. MEDISAN [online]. 2012, vol.16, n.3, pp.383-391. ISSN 1029-3019.

Introduction: Blood transfusion is a common practice in intensive care units. Objective: To determine the transfusion need of 382 critically ill patients hospitalized in this service. Methods: A descriptive and retrospective study was carried out in these cases that were not expected to die in the first 24 hours of being admitted to "Vladímir Ilich Lenin" Polyvalent Intensive Care Unit in Holguín during 2010. Clinical epidemiological variables were analyzed by means of the chi-square and Student's t tests (alpha=0.05). Results: Of all the series the majority were men (51.6%), the mean age was 54±21 years, and deaths constituted 35.1% and mean hospital stay was found to be 7.2±8.4 days. Red cell transfusion was applied to 23.3%, and fresh plasma, platelets and cryoprecipitate to 12.6%; 4.5 and 5.2% respectively. Each patient received 3.3±3.9 transfusions, although those of red blood cells and fresh plasma became higher and lower levels of pretransfusion hemoglobin in those who died. Among the major complications were hospital infections and acute renal failure with prevalence in transfused patients, who had longer stays.

Palabras clave : anemia; blood transfusions; transfusion practice; hospital mortality; hospital stay; Polyvalent Intensive Care Unit.

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