Document 0696
 DOCN  M9460696
 TI    Are some blood transfusions avoidable? A hospital record analysis in
       Mwanza Region, Tanzania.
 DT    9404
 AU    Vos J; Gumodoka B; Ng'weshemi JZ; Kigadye FC; Dolmans WM; Borgdorff MW;
       Bugando Medical Centre, Mwanza, Tanzania.
 SO    Trop Geogr Med. 1993;45(6):301-3. Unique Identifier : AIDSLINE
       MED/94160367
 AB    Records of 497 patients who received a blood transfusion in Mwanza
       Region, Tanzania, were analyzed in order to estimate the proportion of
       avoidable blood transfusions. This was part of a more comprehensive
       study which aims at the reduction of transfusion-associated HIV
       transmission. Blood transfusion recipients were divided into the
       following groups: operated patients (12%), pregnant women (8%),
       under-fives (62%), children aged 5-14 years (5%) and adults (13%). Two
       sets of criteria were applied to estimate the number of avoidable blood
       transfusions. The total proportion of avoidable blood transfusions using
       these criteria were 32 and 56%, respectively. If the strictest criteria
       were applied the proportion of avoidable blood transfusions in operated
       patients was 44%, in pregnant women with chronic anaemia 18%, in
       under-fives 62%, in children 31% and in adults 51%. It was concluded
       that a major reduction in the number of blood transfusions could be
       achieved, in particular in under-fives.
 DE    Adolescence  Adult  Age Factors  Blood Transfusion/STATISTICS & NUMER
       DATA/*UTILIZATION  Child  Child, Preschool  Female  Hospital Records
       Human  HIV Infections/PREVENTION & CONTROL/TRANSMISSION  Infant
       Pregnancy  Retrospective Studies  Support, Non-U.S. Gov't  Tanzania
       JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).