CARDIOVASCULAR JOURNAL OF AFRICA • Volume 34, No 3, July/August 2023 166 AFRICA Results Tables 1 and 2 illustrate the numbers of patients seen and the numbers and kinds of blood-product transfusions performed in 2018 and 2019. During 2018 and 2019, there were 22 444 and 22 270 in-patient admissions, respectively; 24 495 and 20 413 catheter procedures, respectively; 3 951 and 4 234 cardiovascular (CV) operations, respectively; and 32 661 and 25 071 units of blood components transfused, respectively. Therefore, the number of blood components decreased by 7 590 units (23.2%) from 2018 to 2019 in conjunction with implementation of the HBM programme. Among individual blood components, the units of PRBC, FFP, pooled platelets and FWB transfused decreased significantly (p < 0.05) (Table 1). From 2018 to 2019, the total number of emergency blood transfusions decreased by about one-third (3 220 to 2 092) (p < 0.05) (Table 2), largely because of a decrease in the number of transfusions in the ED (1 243 to 298) (p < 0.05). At the same time, the number of ED patients increased slightly (from 69 288 to 72 193) (p < 0.05). Another major finding was that the number of peri-operative autologous transfusions increased from 23 units in 2018 to 271 units in 2019 (p < 0.05). Among other findings was an increase in the number of reported transfusion reactions from two in 2018 to 22 in 2019 (p < 0.05), and the number of disposed blood components from 253 in 2018 to 1 016 in 2019 (p < 0.05). At the same time, the Table 1. The number of catheter procedures, operations, PRBC, FFP, pooled platelets, apheresis platelets, cryoprecipitate, FWB and total blood components in 2018 and 2019. Variables 2018 2019 p-value Catheter procedure 24 495 20 413 < 0.05 Operation 3 951 4 234 < 0.05 Packet red blood cells 15 203 13 733 < 0.05 Fresh frozen plasma 13 350 8 218 < 0.05 Pooled platelets 2 116 1 819 < 0.05 Apheresis platelets 61 56 0.381 Cryoprecipitate 889 736 0.130 Fresh whole blood 842 449 < 0.05 Total blood components 32 661 25 071 < 0.05 Table 2. The number of in-patients, emergency patients, in-patients in coronary ICU, peri-operative autologous blood, transfusion reactions, ED transfusions, coronary ICU transfusions, disposed-of components and total emergency transfusions in 2018 and 2019. Variables 2018 2019 p-value In-patients 22 444 22 270 < 0.05 Number of emergency patients 69 288 72 193 < 0.05 Number of in-patients in coronary ICU 6 573 6 540 < 0.05 Peri-operative autologous blood 23 271 < 0.05 Transfusion reaction 2 22 < 0.05 Emergency department transfusion 1 243 298 < 0.05 Coronary ICU transfusion 1 977 1 794 < 0.05 Number of disposed-of components 253 1 016 < 0.05 Total emergency transfusion 3 220 2 092 < 0.05 HOSPITAL BLOOD MANAGEMENT FOLLOW-UP FORM Fig. 2. Hospital blood-management follow-up form.
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