Rationale of Day Care Blood Transfusion Services: Recent Trends in Transfusion Medicine
Abstract
Background: Day Care Transfusion Unit (DCTU) within Transfusion Medicine Department plays a key role to provide
Transfusion therapy for those who are getting transfusion regularly or desperately need one or two units of blood for their
treatment. Transfusion in a DCTU is also an alternative to hospital admission and cost effective benefit for recipient. The
purpose of the study is to assess transfusion services in our Day care settings. Materials and Methods: We conducted a
cross sectional observational study in DCTU of Transfusion Medicine Department of TMSS Medical College and
Rafatullah Community Hospital, Bogura from January 2020 to December 2020. All prescribed data of blood recipient like
name, age, sex, Blood group, clinical diagnosis, blood and blood component used etc were collected from record register.
Recorded data were analyzed as percentage and proportion. Results: In this study total 715 blood recipients attended in
our DCTU. Among those 408 (57%) were male, 307 (43%) were female and majority 283 (39.58%) of recipient were
below 10 years. Transfusion was required more frequently in Thalassemic patient 525 (73.42%) & other diseases include
undiagnosed Anemia 52 (7.27%), Chronic Kidney Disease 44 (6.15%), Ca Breast- 18 (2.51%), Ca Lung- 16 (2.23%) and
Iron deficiency anemia- 12 (1.67) etc. Among recipient B +ve blood group 240(33.56%) being more prevalent. Out of 715
units transfusion, Red Cell Concentrate (RCC) was most commonly utilized product 683(95.52%) followed by Whole
blood 30 (4.19%) and then Fresh Frozen Plasma 2 (0.27%). Conclusion: DCTU is now popular, convenient and hassle
free transfusion services. We recommended establishing more DCTU for the Transfusion needed patients.
Keywords
Blood Transfusion
Day Care transfusion unit
Recipient.
Introduction
Medical day care (MDC) is an outpatient clinic that provides medical interventions, as well as minor procedures for patients who required non-emergent infusions, transfusions and medical procedures. Some of the services provided at this clinic include: blood transfusions, intravenous immunoglobulin infusions, intravenous iron infusions, phlebotomies, IV medications, Thoracocentesis and Paracentesis, etc. On the contrary, Day Care Transfusion Center (DCTC) is a specialized outpatient service center of Transfusion Medicine Department that provides only transfusion of blood or blood products, iron cheletion and very recently started Platelet Rich Plasma(PRP) therapy to patients who do not require admission to the hospital rather receive above mentioned services as outdoor patients. Transfusion of blood components and related services has become one of the essential components of medicine due to the development and modernization of medical services. Once Transfusion Medicine was a branch of clinical pathology, however the field has now expanded into a clinical, hospital-based specialty. Now Transfusion medicine (or transfusiology) is the branch of medicine that encompasses all aspects of the transfusion of blood and blood components including aspects related to hemovigilance. It includes issues of blood donation, immunohematology and other laboratory testing for transfusion-transmitted diseases, management and monitoring of clinical transfusion practices, patient blood management, therapeutic apheresis, stem cell collections, cellular therapy, and coagulation.