The Korean Journal of Blood Transfusion : eISSN 2383-6881 / pISSN 1226-9336

Table. 3.

Table. 3.

Indication of each inappropriate platelet transfusion episode according to the pre-transfusion platelet counts

Pre-transfusion platelet count (×109/L) Indication N (%) of inappropriate transfusion episodes
Hospital A Hospital B Total
<20 Preventive in patients with stable immune thrombocytopenia 0 (0) 7 (0.6) 7 (0.5)
20 to <50 Preventive in patients with hematologic malignancies 0 (0) 109 (9.3) 109 (7.4)
Preventive in patients with solid tumors 0 (0) 37 (3.2) 37 (2.5)
Preventive in patients undergoing hematopoietic stem cell transplantation 0 (0) 35 (3.0) 35 (2.4)
Preventive in patients with aplastic anemia 0 (0) 10 (0.9) 10 (0.7)
Preventive in hospitalized patients (non-hematology/oncology) 9 (3.0) 0 (0) 9 (0.6)
Preventive before bone marrow biopsy 0 (0) 5 (0.3) 5 (0.3)
Preventive in patients with stable immune thrombocytopenia 0 (0) 1 (0.1) 1 (0.1)
Preventive before central venous catheter removal 0 (0) 1 (0.1) 1 (0.1)
Preventive before vaginal delivery 1 (0.3) 0 (0) 1 (0.1)
50 to <100 Therapeutic in patients with non-critical bleeding 12 (4.0)§ 16 (1.4)§ 28 (1.9)
Preventive in patients with solid tumors 0 (0)§ 28 (2.4)§ 28 (1.9)
Preventive before surgery or procedure* 4 (1.3) 17 (1.5) 21 (1.4)
Preventive in patients with DIC 7 (2.3) 3 (0.3) 10 (0.7)
Preventive in patients with hematologic malignancies 0 (0) 7 (0.6) 7 (0.5)
≥100 Therapeutic in patients with non-critical bleeding 2 (0.7) 1 (0.1) 3 (0.2)
Therapeutic in patients with critical bleeding 1 (0.3) 1 (0.1) 2 (0.1)
Preventive before surgery 2 (0.7) 0 (0) 2 (0.1)
Total 38 (12.7) 278 (23.7) 316 (21.5)

*Including orthopedic surgery (n=6), urosurgery (n=4), general surgery (n=4), cardiac surgery (n=3), obstetric surgery (n=1), plastic surgery (n=1), pericardiocentesis (n=1), and insertion of a permanent catheter (n=1).

Including general surgery (n=1) and cardiac surgery (n=1).

P<0.05, §P<0.01, and P<0.001, significant difference between two hospitals.

Abbreviation: DIC, disseminated intravascular coagulation.

Korean J Blood Transfus 2024;35:33-43 https://doi.org/10.17945/kjbt.2024.35.1.33
© 2024 Korean J Blood Transfus