SAŽETAK
UVOD: Krvni pripravci su lijekovi dobiveni od ljudske krvi, a namijenjeni su sprečavanju odnosno liječenju različitih bolesti. Priprava krvnih pripravaka zasniva se na činjenici da se pojedini sastojci krvi razlikuju u specifičnoj težini. Fizikalnim postupcima najčešće diferencijalnim centrifugiranjem, sastojci krvi se odvajaju na način da teži padaju na dno vrećice a ostali u slojevima naliježu na njih ovisno o specifičnoj težini. Odluke o transfuziji trebaju se zasnivati na kliničkoj procjeni bolesnika i rezultatima laboratorijskih pretraga. Ne postoje apsolutne indikacije, a malo je kontraindikacija za transfuziju krvi.
CILJ: Prikazati broj izdanih krvnih pripravaka za kirurgiju,kardiokirurgiju i JIL u periodu 2010 – 2013 god u odnosu na ukupan broj izdanih krvnih pripravaka za ispitivani period.
METODE: Izvršena je retrospektivno deskriptivna analiza izdane krvi i krvnih pripravaka u periodu 2010-2013.g. U studiji su korišteni Bolnički protokoli izdane krvi i krvnih pripravaka.
REZULTATI: U 2010 godini izdata su 9792 krvna pripravka na 42 odjela/klinika SKB Mostar od toga na kardiokirurgiju, kirurgiju, JIL izdato 6429 / 65 % krvnih pripravka u odnosu na druge odjel/klinike SKB Mostar ; u 2011 god izdato je 11568 krvnih pripravaka od toga 7382 / 64 % na ispitivane odjele/klinike odnosu na druge odjel/klinike SKB Mostar; u 2012 god izdato je 12894 krvna pripravka od toga 7455/57% na ispitivane odjel/klinike odnosu na druge odjel/klinike SKB Mostar ; u 2013 god izdato je 13825 krvnih pripravaka od toga 7453/54% na ispitivane odjele/ klinike u odnosu na druge odjel/klinike SKB Mostar.
ZAKLJUČAK: Iz prikazanih rezultata vidljivo je da su kardiokirurgija, kirurgija i JIL najveći potrošači krvnih pripravaka odnosu na druge odjel/klinike SKB Mostar. Od ukupno svih proizvedenih krvnih pripravaka u Transfuzijskom centru SKB Mostar više od polovine izda se na ispitivane odjele.
Ključne riječi: krv, krvni pripravci, transufuzija, JIL, kirurgija, kardiokirurgija
ISSUANCE OF BLOOD COMPONENTS FOR SURGERY, CARDIAC SURGERY AND INTENSIVE CARE UNITS IN UNIVERSITY CLINICAL HOSPITAL MOSTAR FOR THE PERIOD 2010-2013
SUMMARY
INTRODUCTION: Blood components are drugs derived from human blood and are intended for the prevention or treatment of various diseases. Preparation of blood components is based on the fact that different blood components differ in the specific gravity. Physical methods mainly by differential centrifugation, blood components are separated in a way that heavier falls to the bottom of the bag and the other in overlapping layers on them depending on the weight. Decisions about transfusion should be based on clinical assessment of patients and on the results of laboratory tests. There are no apsolute indications, and only a few contraindications for blood transfusion occur.
OBJECTIVE: To describe the number of issued blood products insurgery, cardiac surgery and in intensive care units for the period 2010-2013 compared to the total number of blood components for the test period.
METHODS: Retrospective descriptive analysis of issued blood and blood components during 2010-2013 was conducted. The study has used hospital protocols of issued blood and blood components.
RESULTS: In 2010 were issued 9,792 blood components in 42 departments/clinics in University Clinical Hospital Mostar. Cardiac surgery, surgery, intensive care unit issued 6429 or 65% of blood components compared to other department/clinics in University Clinical Hospital Mostar. In 2011 were issued 11,568 blood components and from that 7382 or 64% were issued on the test department/clinic compared to other departments/clinicsin University Clinical Hospital Mostar. In 2012 were issued 12,894 blood components and from that 7455 or 57% were issued on the test department/clinic compared to other departments/clinics in University Clinical Hospital Mostar. In 2013 were issued 13,825 blood components and from that 7453 or 54% on the test department/clinic compared to other departments/clinics in University Clinical Hospital Mostar.
CONCLUSION: From the results it is evident that cardiology, surgery and intensive care unit are largest consumers of blood components compared to other departments/clinics in University Clinical Hospital Mostar. From the total of all manufactured blood components in Department of Transfusion Medicine in University Clinical Hospital Mostar more than half is issued to the test sections.
Keywords: blood, blood components, transfusion, intensive care unit, cardiac surgery