Home Blood Transfusions in Palliative Patients

Abstract

Introduction: Assistance of complex chronic patients occupies much of the health care activity of home care hospital bassed (HCHB). The chronic anemias are frequent as a secondary clinic picture due to the deficit of the tissues oxygenation capacity for lack of contribution. Aim: to know the prevalence of transfusions and the characteristics of the patients in the HCHB of the Hospital General Universitario de Alicante. Material and methods: Descriptive, cross-sectional study of transfused patients in the HCHB of General University of Alicante from the 1st of October 2016 until the 31th of march of 2017. Results: 136 transfusions were performed in 52 patients with a median of 82 years IQ [68-88]. The most of them were palliatives and the 53,8% were males. They were transfused using an average hemoglobin of 7,8g/dl ± 0,9 and all of them showed symptomatology. No type of adverse reaction was registered. The degree of patient satisfaction and their relatives was high. 9.7 ± 0.3. The prevalence was 121.86 transfusions / 1000 patients in the HAD. Conclusions: The transfusions have been a safe procedure at the patient’s home. The most part of the transfused patients were palliatives. All the recorded transfusions were indicated analytical and clinically. The high degree of patients satisfaction and their relatives makes infer that we are contributing to improve their quality of life.

Keywords

• Servicios de Atención a Domicilio Provisto por Hospital
• Transfusión Sanguínea
• Transfusión de Componentes Sanguíneos
• Anemia