Browsing by Author "Calle Iza, Caroly Jairala"
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Item Criterios utilizados en los hospitales Vicente Corral y José Carrasco para la transfusión perioperatoria de sangre completa, Cuenca, 2002(2002) Calle Iza, Caroly Jairala; España Pineda, Mariana de Jesús; León Aza, María Rosario; Piedra Abril, Luis Iván; Flores Durán, Carlos TeodoroIt aims to identify the criteria by which the whole blood in the perioperative period in hospitals José Vicente Carrasco and Corral de Cuenca is transfused. From January 2000 to June 2002, with a descriptive design and a nonrandom sample, 94 patients of both genders in both hospitals, which were transfused whole blood in the perioperative period were included. Results: 41.5 (39 patients) were the hospital José Carrasco and 58.5 (55 patients) of Vicente Corral. With a range between 9 and 96 Anis the promerio age was 45.15 + -19.09 years. Males were 60.6 (57 patients) and 39.4 women (37 patients). The level of primary education was predominant with 57.4 (54 patients). By origin rural and urban distribution was similar, 48.9vs 51.1, respectively. The predominant blood type was ORh + with 86.2 (81 patients). The most common surgical procedimientyos were 35.1 digestive tract (33 patients) and trauma with 29.8 (28 patients). The minimum perioperative bleeding was 50 mL and 1100 mL maximum averaging 406.08 + -291.14mL. The average transfused volume was 740.43 + -335.25mL with a range between 200 mL and 1800 mL. The lowest preoperaroaia hemoglobin was 5.2g / dL and higher than 15.6 g / dL with an average of 9.6 + -2.09 g / dL. The average postoperative hemoglobin was 11.39 + -2.13 g / dL with a range of 6.0g / dL and 16 g / dL. The hospital stay between 2 and 76 days with an average of 15.77 + - 15.04 days. 92 (86 patients) were discharged in improved condition. It was recorded 8.5 (8 cases) of complications and infection was the most common wound them with 62.5 (5 cases. Conclusion: The 79.6de patients received perioperative transfusions innecesarias.- The difference between the average blood loss (406.08 + -291.14mL) and average transfusion (740.43 + -335.25mL) shows that hemoterapia in the study hospitals is not reset but prevention. In our clinical practice does not follow international standards for perioperative transfución . This broad scope warrants analytics
