Current Situation and Strategy of Blood Transfusion in Emergency Department of Peking Union Medical College Hospital

  Objective  To analyze the current situation of blood transfusion in Emergency Department of Peking Union Medical College Hospital(PUMCH) and to propose an appropriate strategy.

  Methods  The data of blood transfusion in Emergency Department of PUMCH from January to October 2015 were analyzed and compared with the data of the corresponding period of 2014.

  Results  Blood transfusion mainly concentrated in the therapeutic room of Emergency Department, in which red blood cells, plasma, and platelet transfusion accounted for 65%, 28%, and 78% of total volume of Emergency Department, respectively. Most of the patients receiving blood transfusion were patients with chronic diseases. Compared with the same period in 2014, the average amount of blood transfusion per capita (red blood cells, 6.02 U vs. 5.10 U; plasma, 8.26 U vs. 7.37 U; platelets, 2.48 U vs. 2.08U) and mean blood transfusion volume (red blood cells, 3.07 U vs. 3.04 U; plasma, 6.80 U vs.6.23 U; platelets, 1.21 U vs. 1.16 U) were both increased in 2015.

  Conclusions  Many factors may cause large demand of blood transfusion in the therapeutic room in Emergency Department. We should follow the indications of blood transfusion strictly for appropriate use of blood tranfusion.