Acil Serviste Yapılan Kan Transfüzyonları Acil Servis İşleyişini Etkiliyor mu

The goal of this study is to investigate whether blood and blood products transfusions in the emergency department (ED) affect the operations in the ED. Patients who were subjected to blood and blood product transfusions in the ED at the Health Sciences University Bursa Yuksek Ihtisas Training and Research Hospital between 01.08.2019 and 31.12.2019 were included in the study. The patients were classified with regard to age, gender, transfusion type and numbers, blood type, waiting duration for blood, duration of transfusion operation, and total hospitalization period in the ED. In total, 227 patients were included. 54.6% of the patients were male and the average age was 63,86±17,81. The average hemoglobin (Hg) level was 7,12±2,42 g/dL, the average blood waiting duration 6,44±3,02 hours, average transfusion operation duration was 3,54±3,45 hours, and the average total service in the ED was 10,13±4,00 hours. 74,0% of the patients had been diagnosed with anemia. Through the one-way Anova test, it was observed that there was a meaningful difference between the total service time and the diagnosis (F=4,235; p=0.001). With the post-hoc Tukey test, it was determined that the difference arose from coagulation abnormalities and anemia (p=0.001) and coagulation abnormalities and gastrointestinal hemorrhages (p=0.013). Blood and blood product transfusions with no associated emergency indicators contribute to additional load and longer waiting times in the ED. Therefore, conducting these operations in the ED adversely affects the operational capacities of the ED.