Principais razões para o descarte de bolsas de concentrados de hemácias no Hemocentro Dalton Cunha

Abstract

Red blood cell concentrate (RBC) is one of the most important blood components in transfusion medicine, intended mainly for patients with severe anemia, major surgeries, and trauma and emergency situations. However, not all of the RBC concentrate produced is used, which leads to the discarding of this blood component for several reasons. The objective of this study was to identify the main reasons for discarding RBC bags at the Dalton Cunha Blood Center from January 2019 to December 2023, through a retrospective analysis of data obtained from the blood center's computerized system. During the study period, 198,055 donors and a total of 481,830 blood components were produced. Of this total, 185,036 corresponded to the production of CH (38.4%). Were served and an approximate total of 481,830 blood components were produced. The total number of red blood cell concentrates discarded was 16,337, and the main reasons associated with discarding were: reactive serology (22,8%), expired validity period (17,7%), changes in quality control parameters (15.3%), complications related to obtaining, storing the bag or clinical screening (6.3%), self-exclusion (4.0%), lipemia (2.5%), and other causes, grouped by various reasons (31,4%). The results found are similar to other studies already conducted and suggest the implementation of educational actions with the population, with the objective of trying to reduce discarding due to positive serology, as well as raising awareness among health professionals in hospital units and all those involved in the transportation of blood and blood components of the need to comply with the hemotherapy standards in force in the country, in order to minimize discarding due to changes in quality parameters. These measures aim to ensure the maintenance of stocks according to demand, optimize use and reduce costs for hemotherapy services.