Effectiveness of blood transfusions and risk factors for mortality in children aged from 1 month to 4 years at the Bon Marche Hospital, Bunia, Democratic Republic of Congo

Hdl Handle:
http://hdl.handle.net/10144/279017
Title:
Effectiveness of blood transfusions and risk factors for mortality in children aged from 1 month to 4 years at the Bon Marche Hospital, Bunia, Democratic Republic of Congo
Authors:
Mueller, Y; Bastard, M; Ehounou, G; Itama, J; Quéré, M; de la Tour, R; Vala, L; Etard, J-F; Bottineau, M-C
Journal:
Tropical Medicine & International Health
Abstract:
Objective  To assess the effectiveness of blood transfusions in a hospital of north-eastern Democratic Republic of the Congo. Methods  Prospective study of children admitted for severe anaemia. During admission, data were collected on clinical condition and haemoglobin levels, before and after blood transfusion. A linear regression model was built to explore factors associated with haemoglobin level after transfusion. Risk factors for mortality were explored through multivariate logistic regression. Results  Haemoglobin level (Hb) was below 4 g/dl in 35% (230/657), between 4 and 6 g/dl in 58% (348/657) and at least 6 g/dl in another 6% (43/657) of the transfused children. A transfusion of 15 ml/kg of whole blood increased the Hb from 4.4 to 7.8 g/dl. Haemoglobin level after transfusion was associated with baseline Hb, quantity of delivered blood and history of previous transfusions. Overall case-fatality rate was 5.6% (37/657). Risk factors for deaths were co-morbidities such as chest infection, meningitis or malnutrition, Hb ≥ 6 g/dl, impaired consciousness or jugular venous distention on admission, and provenance. Conclusion  Transfusion was a frequent practice, the use of which could clearly have been rationalised. While indications should be restricted, quantities of transfused blood should be adapted to needs.
Affiliation:
Epicentre, Paris, France  Médecins Sans Frontières, Geneva, Switzerland  National Program for Blood Transfusion, Bunia, Democratic Republic of the Congo.
Issue Date:
11-Oct-2012
URI:
http://hdl.handle.net/10144/279017
DOI:
10.1111/j.1365-3156.2012.03095.x
PubMed ID:
23051824
Language:
en
ISSN:
1365-3156
Appears in Collections:
Paediatrics

Full metadata record

DC FieldValue Language
dc.contributor.authorMueller, Yen_GB
dc.contributor.authorBastard, Men_GB
dc.contributor.authorEhounou, Gen_GB
dc.contributor.authorItama, Jen_GB
dc.contributor.authorQuéré, Men_GB
dc.contributor.authorde la Tour, Ren_GB
dc.contributor.authorVala, Len_GB
dc.contributor.authorEtard, J-Fen_GB
dc.contributor.authorBottineau, M-Cen_GB
dc.date.accessioned2013-04-04T22:57:10Z-
dc.date.available2013-04-04T22:57:10Z-
dc.date.issued2012-10-11-
dc.identifier.citationEffectiveness of blood transfusions and risk factors for mortality in children aged from 1 month to 4 years at the Bon Marché Hospital, Bunia, Democratic Republic of the Congo. 2012: Trop. Med. Int. Healthen_GB
dc.identifier.issn1365-3156-
dc.identifier.pmid23051824-
dc.identifier.doi10.1111/j.1365-3156.2012.03095.x-
dc.identifier.urihttp://hdl.handle.net/10144/279017-
dc.description.abstractObjective  To assess the effectiveness of blood transfusions in a hospital of north-eastern Democratic Republic of the Congo. Methods  Prospective study of children admitted for severe anaemia. During admission, data were collected on clinical condition and haemoglobin levels, before and after blood transfusion. A linear regression model was built to explore factors associated with haemoglobin level after transfusion. Risk factors for mortality were explored through multivariate logistic regression. Results  Haemoglobin level (Hb) was below 4 g/dl in 35% (230/657), between 4 and 6 g/dl in 58% (348/657) and at least 6 g/dl in another 6% (43/657) of the transfused children. A transfusion of 15 ml/kg of whole blood increased the Hb from 4.4 to 7.8 g/dl. Haemoglobin level after transfusion was associated with baseline Hb, quantity of delivered blood and history of previous transfusions. Overall case-fatality rate was 5.6% (37/657). Risk factors for deaths were co-morbidities such as chest infection, meningitis or malnutrition, Hb ≥ 6 g/dl, impaired consciousness or jugular venous distention on admission, and provenance. Conclusion  Transfusion was a frequent practice, the use of which could clearly have been rationalised. While indications should be restricted, quantities of transfused blood should be adapted to needs.en_GB
dc.languageENG-
dc.language.isoenen
dc.rightsArchived on this site with the kind permission of Wiley-Blackwell, [url]http://www.blackwell-synergy.com/loi/tmi[/url]en_GB
dc.titleEffectiveness of blood transfusions and risk factors for mortality in children aged from 1 month to 4 years at the Bon Marche Hospital, Bunia, Democratic Republic of Congoen
dc.contributor.departmentEpicentre, Paris, France  Médecins Sans Frontières, Geneva, Switzerland  National Program for Blood Transfusion, Bunia, Democratic Republic of the Congo.en_GB
dc.identifier.journalTropical Medicine & International Healthen_GB

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