Perfil clínico e epidemiológico dos pacientes transfundidos no Hemocentro de Sergipe

Abstract

The blood therapy has been widely used both as ambulatory as hospital and when used properly can save lives and improve the health of patients, but can lead to acute or delayed complications. The aim of this study was to describe the clinical and epidemiological profile of transfused patients at the Hemotherapy Center of Sergipe during 05 months. We conducted a retrospective descriptive exploratory study that assessed the profile of all transfused patients of HEMOSE between April and August 2013, through the systematic review of 276 cases. Among them, 40,2% were men and 59,8% women. The mean age was 52,4 years ranging between 6 and 97 years. The majority (48,2%) came from the interior of Sergipe and belonged to the group of solid tumors (43,1%), followed by 11,6% of hematologic malignancies and 11,2 % of benign uterine diseases, among others. 11,6% of patients had multiple transfusions, whose relative frequency was highest among patients with hematologic malignancies (34,4%) and those older than 60 years (43,8%). Transfusion reactions were relatively more frequent among patients with chronic kidney disease (35,7%); being hyperten- sion the most frequent (33,3%). The multiple transfusions had higher relative fre- quency of transfusion reactions (46,9%) than non polytransfused (14,8%) (p = 0.00001) as well as frequency of PAI positive (18,8%) ( p = 0 , 00019 ). The irregular antibodies more found were Anti-E (1,4%) and Anti-c (0,4%). These data allow us to take preventive measures in relation to transfusitional reactions and confirm the need for complete records of transfused patients.