Utilization of Blood Transfusion Services among Patients Admitted in Migori County Referral Hospital, Kenya

Abstract

ABSTRACT

Introduction: Blood transfusion is an essential lifesaving intervention in the clinical management of patients. The aim of the study was to assess utilization of blood transfusion services among patients admitted in Migori County Referral Hospital (MCRH).

Methods: A cross-sectional study that involved a retrospective review of records of patients who received blood transfusions in Medical, Pediatrics, and Maternity wards in MCRH from January to December 2018 was undertaken. Patient data was extracted using a Microsoft Excel abstraction tool.

Findings: Out of the 704 records reviewed, the highest number of admissions were in the female medical ward 210(29.8%). Number of transfusions due to severe anemia, and postpartum hemorrhage were 381(51.1%) and 122(17.3%) respectively. Patients transfused in less than 24 hours were 680(98%) and those who died were 99(14.1%). Vital observations during transfusions were not done in 558(80.7%) patients. The odds of transfusion within 24 hours in pediatrics was higher compared to the adults (OR: 3.83, 95%CI 1.31-11.2). The odds of being transfused within 24 hours was more likely to occur among patients diagnosed with obstetric emergencies (OR: 0.67, 95%CI 0.15-3.07) as compared to other systemic conditions. The odds of dying was less among transfused women with obstetric emergencies compared to other systemic conditions (OR: 0.52, 95% CI 0.27-0.98).

Conclusions and Recommendation: Majority of patients were transfused due to anemia, and Post-Partum Hemorrhage. Vital observations should be taken during transfusion, funds should be provided to intensify blood donation camps and revamping of the county Blood Transfusion Committee should be undertaken.

Keywords: Blood transfusion, Utilization, Services, Patients