Uncrossmatched Blood Transfusion for Resuscitation Patients at the Emergency Department

Korakot Apiratwarakul; Sivit Chanthawatthanarak; Piyathida Klawkla; Kamonwon  Ienghong; Vajarabhongsa Bhudhisawasdi; Takaaki Suzuki

doi:10.3889/oamjms.2021.6543

Authors

Korakot Apiratwarakul Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand https://orcid.org/0000-0002-1984-0865
Sivit Chanthawatthanarak Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Piyathida Klawkla Department of Emergency Medicine, Bangkok Hospital Phetchaburi, Phetchaburi, Thailand
Kamonwon Ienghong Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand https://orcid.org/0000-0003-0328-4128
Vajarabhongsa Bhudhisawasdi Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Takaaki Suzuki Department of Emergency and Critical Care Medicine, University of Tsukuba Hospital, Tsukuba, Japan

DOI:

https://doi.org/10.3889/oamjms.2021.6543

Keywords:

Blood transfusion, Blood group incompatibility, Emergency departments, Death rate, Mortality rate

Abstract

BACKGROUND: Patients with uncontrolled blood loss often require immediate blood transfusion after the bleeding is stopped. If it is an emergency situation, blood that has not been tested for compatibility (uncrossmatched red blood cell [URBC] products) can be used. However, no studies have been conducted to evaluate the effectiveness of this protocol.

AIM: The aim of the study is to evaluate the effectiveness of URBC transfusion in Srinagarind Hospital’s emergency department (ED).

METHODS: This was a cross-sectional study that reviewed the medical records of ninty Thai patients over 18 years of age who received at least one unit of blood through URBC transfusion in the Srinagarind Hospital ED from September 2016 to August 2018.

RESULTS: The average age of the patients was 47.23 ± 18.2 years, and 73.3% were male. A total of 149 units of URBC were provided, with 54.44% of recipients being trauma patients and 27.78% being gastrointestinal bleeding patients. The 24-h and in-hospital mortality rates were 58.89 and 72.22%, respectively. There were no cases of acute blood transfusion complications or inappropriate URBC transfusion.

CONCLUSIONS: The transfusion of URBC necessary in patients with uncontrolled bleeding. No complications were found due to acute blood transfusion.

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