Prevalence of red blood cell alloimmunization in multiply transfused patients

Fernanda Marcante Carlotto, Bruna Schmitt Puhl, Antonio Albuquerque Beninca, Bruna Accorsi Machado, Cristiane Rodrigues de Araujo

Abstract


Introduction: To analyze the prevalence of alloantibodies in multiply transfused patients. Methods: This study was a retrospective, exploratory and descriptive study with a quantitative approach. The study sample comprised 185 patients transfused at a referral service in the city of Passo Fundo, Rio Grande do Sul, from January 2016 to February 2018. Results: Overall, the antibodies identified were as follows: anti-E in 47 patients (18%), anti-D and anti-K in 28 patients each (11%), anti-C in 21 patients (8.1%), and inconclusive antibody results in 23 patients (8.9%). Females were a majority (55.7%), mean age was 48.8 years and mean quantity of blood transfused was 7.2 bags. Cardiovascular disorders were the most common comorbidities, in 39 patients (21.2%), followed by oncological disorders, in 38 patients (18.4%). Conclusion: Alloimmunization is an important and frequent clinical condition that increases the risk of hemolytic reactions and is associated with significant patient morbidity and mortality.


Keywords


Red blood cells; erythrocytes; alloimmunization; alloantibodies; transfusion; elderly

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The Clinical & Biomedical Research is licenced under Creative Commons Atribuição 4.0 Internacional.