Red Blood Cell Transfusion Condition of In-patients of Peking Union Medical College Hospital in 2010 and 2013

  Objective  To study the general condition and changes of red blood cell transfusion in Peking Union Medical College Hospital in the years of 2010 and 2013.

  Methods  Random sampling was conducted among the in-patients who received red blood cell transfusion during hospitalization at Peking Union Medical College Hospital in 2010 and 2013. The clinical information including gender, age, wards where transfusion was performed, and the hemoglobin values before the first red blood cell transfusion were compared between the 2 years.

  Results  Totally, 174 cases in 2010 and 500 cases in 2013 were enrolled. The mean hemoglobin value before red blood cell transfusion in non-surgical and surgical wards were (67.71±11.31)g/L and (78.68±15.64)g/L respectively in 2010, which were (63.75±12.41)g/L and (81.53±17.09)g/L respectively in 2013. Hemoglobin detection rates in in-patients before red blood cell transfusion in non-surgical wards in 2010 and 2013 were both 100%; in surgical wards, the hemoglobin detection rate was 68.6% in 2013, significantlyhigher than that in 2010 (47.7%, P < 0.001).

  Conclusions  In both non-surgical and surgical wards of Peking Union Medical College Hospital, the hemoglobin threshold for initiating red blood cell transfusion were in accordance with the recommendations of international and China guidelines, indicating that in our hospital, indication of red blood cell transfusion is strictly followed and transfusion administration is rational with continuous improvement.