{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T15:56:33Z","timestamp":1781279793401,"version":"3.54.1"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T00:00:00Z","timestamp":1601337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion Medicine"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To analyse adherence to World Health Organization (WHO) indications for transfusion requests and capacity to meet the demand in the paediatric emergency units of a tertiary hospital in Mozambique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Severe anaemia is a relevant paediatric problem in Sub\u2010Saharan Africa. Transfusion can be a life\u2010saving intervention, but in this setting, blood supply is often limited, and there is a high risk of transfusion\u2010related complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods\/materials<\/jats:title><jats:p>Data were gathered from transfusion request forms (n = 3161) sent from the Pediatric Emergency Unit (n = 2319) and Neonatology (n = 842) to the blood bank of the Central Hospital of Beira for the years 2015 to 2016.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found that 22% of transfusion recipients had haemoglobin levels greater than WHO recommendations. For patients within the WHO guidelines, 3% were not given transfusions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings indicate that there may be room for education on when transfusion should be given. By optimising the allocation of limited blood supply, all children with an effective indication for transfusion could probably receive it. This objective could be achieved through the implementation of national transfusion guidelines and health care provider training.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tme.12720","type":"journal-article","created":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T12:05:22Z","timestamp":1601381122000},"page":"505-507","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Emergency paediatric blood transfusion practices in Mozambique"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9479-6366","authenticated-orcid":false,"given":"Giulia","family":"Reggiani","sequence":"first","affiliation":[{"name":"Department of Women and Children Health University of Padua  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arlindo","family":"Muhelo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Neonatology Central Hospital of Beira  Beira Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Cavaliere","sequence":"additional","affiliation":[{"name":"Department of Women and Children Health University of Padua  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damiano","family":"Pizzol","sequence":"additional","affiliation":[{"name":"Operative Research Unit Doctors with Africa Cuamm  Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Chiara","family":"Frigo","sequence":"additional","affiliation":[{"name":"Biostatistics, Epidemiology and Public Health Unit, Department of Cardiac, Thoracic and Vascular Sciences University of Padua  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liviana","family":"Da Dalt","sequence":"additional","affiliation":[{"name":"Department of Women and Children Health University of Padua  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2013-06-508325"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-11-141"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lpm.2016.06.022"},{"key":"e_1_2_8_5_1","volume-title":"The clinical use of blood\u2013handbook","author":"WHO","year":"2001"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transci.2013.06.014"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)07666-3"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.15-0310"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12878-017-0091-y"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001613"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.13019"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.13774"}],"container-title":["Transfusion Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tme.12720","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/tme.12720","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tme.12720","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T20:53:26Z","timestamp":1693342406000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/tme.12720"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,29]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1111\/tme.12720"],"URL":"https:\/\/doi.org\/10.1111\/tme.12720","archive":["Portico"],"relation":{},"ISSN":["0958-7578","1365-3148"],"issn-type":[{"value":"0958-7578","type":"print"},{"value":"1365-3148","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,29]]},"assertion":[{"value":"2019-01-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}