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. 2014 Oct 25:28:119.
eCollection 2014.

Evaluation of a new restricted transfusion protocol in neonates admitted to the NICU

Fatemeh Nayeri  1 , Firozeh Nili  2 , Bita Ebrahim  3 , Zohreh Olomie Yazdi  4 , Zahra Maliki  5
Affiliations

Evaluation of a new restricted transfusion protocol in neonates admitted to the NICU

Fatemeh Nayeri et al. Med J Islam Repub Iran. .

Abstract

Background: Although transfusion is a common procedure for treating anemia of prematurity, there is no specific protocol for blood transfusion in premature newborns. So in this study we investigate whether application of a strict protocol has any statistically significant effect on reduction of blood transfusion.

Methods: In this study, first group admitted in NICU during 2005 - 2006 and the second group admitted during 2006 - 2007. Whereas in the first group the blood transfusion performed based on neonatologists' opinion following consultations with a pediatric hematologist, blood transfusion in the second group was based on the Shannon's protocol.

Results: During 2005-2006, out of 206 cases, 71 cases (%34.5) underwent blood infusion. During 2006-2007, out of 211 cases, 56 (%26.5) received blood transfusion based on the Shannon's strict protocol. Although the number of cases decreased, no significant difference was found betweenthe two groups (p= 0.07). Conculsion: Applying strict criteria alone is not effective in reducing the frequency of transfusion in infants.

Keywords: Anemia; Blood transfusion; Premature infants.

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