Blood Component Therapy in Sick Newborns
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Abstract
Background: Sick neonates admitted to NICU (neonatal intensive care unit) frequently need blood component transfusion including WB (whole blood), PRBC (packed red blood cells), FFP (fresh frozen plasma) and platelets.
Aim: This study was aimed to evaluate the indication and frequency of various blood components used in NICU.
Method: This was a retrospective observational study, done at tertiary level NICU in north India. All the neonates admitted in NICU from July 2023 to December 2023 were included and their records were screened for blood component transfused and their indications.
Results: During the study period, out of 141 admissions, 15.6% of newborns required blood component transfusion. PRBC (53.3%) was the most commonly transfused component followed by platelet concentrate (28.9%). 41% of newborns required more than one transfusion. 91.1% of transfusions were appropriate as per our NICU transfusion protocol.
Conclusion: A large number of sick newborns admitted to NICU required blood component transfusion during hospitalization, especially preterm. PRBC, being the most commonly used blood component, should be used appropriately and judiciously.
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