Professor Mahmuda Hassan Ad-din Women’s Medical College Hospital Abdul Mannan, 2 Marium Begum, 3 NasimJahan 4 , SM Zabrul Kona Choudhury, 6 Hamidur Rahman 7 . Haque, 5
Sick neonates are one of the most heavily transfused groups of patients in modern medicine. Apart from whole blood, blood components like packed red blood cell (PRBC), platelet or fresh frozen plasma are used. Albumin Hypoalbunimaemia - peripheral oedema, IVIG- platelet counts below 30,000/l. alloimmune and autoimmune neonatal thrombocytopenia
To find out the types of transfusion in neonatal intensive care unit among the sick neonates.
Neonates who required blood or blood product between 1 st Jan 2013 to 31 st March 2014 were included for the study. The study was carried out at the neonatal intensive care Unit (NICU) at Ad- Women’s Medical college Hospital.
Inclusio lusion n Criter eria ia Exclusion usion Criter eria ia Congenital Booked pregnancy with malformations. good documentation. Death & referred cases Inborn and out-born. to other hospital or Admitted for the first referred from other time in NICU NICU. Congenital TORCHS . .
Total 743 neonates were admitted during the study period, 86 neonates (10.9%) Inborn 65(75.58%) out born 21(24.41%). NVD 39 (44.44%) LUCS 47( 55.55%) , .
Their age of admission were from 0 days to 28 days Their weight ranged between 0.864kg to 3.83 kg with a mean weight of 1.64 kg. Gestational age of the neonates ranged from 26 weeks to 41 weeks .Mean GA 35 +4 weeks.
age of admission on 70 63 60 50 number of meonates 40 30 20 14 10 5 4 0 0-7days 7-14 days 14-21 days 21-28 days
Gesta tati tion onal age in weeks ks 38 40 35 30 26 22 25 20 15 10 5 26% 44.18% 30.12% 0 <34wks <37wks >37wks
Types of Tx 70 60 50 % of neonates 40 30 20 10 0 PRBC FFP platelets Albumin IVIG Series1 40 64 44 23 9 Series2 46.51% 74.41% 51.16% 26.73% 11%
Type of Tx 12 10 8 nates No. of Neona 6 4 2 0 FFP+ FFP + FFP+ PRBC FFP + FFP + Whole PRBC+ PRBC + FFP+ Alb. FFP+PLT PLT PRBC FFP +Alb+ PLT+ Alb. PRBC blood PLT Alb PLT Series1 7 11 3 7 9 6 10 7 10 11 5 Series2 8.10% 12.79% 3.48% 8.10% 10.46% 6.90% 11.62% 8.13% 11.62% 12.79% 5.80%
Multiple blood product transfusions are common among hospitalized neonates. Fresh frozen plasma transfusion was highest than that of the platelets.
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