{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:18:03Z","timestamp":1791231483283,"version":"4.1.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Emerg Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Red blood cell (RBC) transfusions are essential for many patients admitted to emergency departments (ED). However, accessibility to red cell transfusions is often limited, especially in low-income countries such as Haiti. This article aims to determine the proportion of patients requiring emergency transfusion, transfused patients\u2019 characteristics, as well as the response rate and timeliness of blood product delivery for requests made.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective study was conducted among all patients with RBC transfusion indications from January to June 2022 at the ED of Mirebalais Teaching Hospital. The parameters studied included transfusion indications, pre-transfusion hemoglobin levels, and delay from prescription to transfusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the study period, 3993 patients received treatment in the ED. The proportion of patients requiring RBCs was 7.69%, including 145 males and 117 females, with a median age of 43 [30\u201356] years. Only 21.7% of these patients received a transfusion. The average pre-transfusion hemoglobin level was 4.75\u2009\u00b1\u20091.68\u00a0g\/dL. The most common transfusion\u2019s indications were infection\/sepsis (36.74%), trauma (23.48%), and cancer (21.57%). The median time delay from prescription to transfusion was 2.37 [0.97\u20134.93] days. The study identified significant associations between RBC transfusion probability and patient factors like hemoglobin levels, patient disposition, urgency of RBC request, and length of stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RBC transfusion requests are frequent in the ED of Mirebalais Teaching Hospital, with a relatively high transfusion delay. Further studies on the relevance of RBC requests and ways to reduce delay from prescription to transfusion would be beneficial to improve this situation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12245-024-00672-8","type":"journal-article","created":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T11:02:43Z","timestamp":1727434963000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Red blood cell transfusion in a tertiary Haitian hospital\u2019s emergency department: patient characteristics and availability challenges"],"prefix":"10.1186","volume":"17","author":[{"given":"Flawendjee Djaweelentz","family":"Jacques","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samentha Cyndie","family":"Julmisse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ange Cindy","family":"Laurore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph Mackenson","family":"Lefruit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurice Junior","family":"Chery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kobel","family":"Dubique","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,9,27]]},"reference":[{"key":"672_CR1","doi-asserted-by":"crossref","unstructured":"Linda S, Barnes J, Stanley EM, Bloch MB, Pagano, Tina S, Ipe Q, Eichbaum S, Wendel A, Indrikovs W, Cai MD. Status of hospital-based blood transfusion services in low-income and middle-income countries: a cross-sectional international survey. BMJ Open [Internet]. 2022;12(2):1\u201310. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8852762\/.","DOI":"10.1136\/bmjopen-2021-055017"},{"key":"672_CR2","doi-asserted-by":"crossref","unstructured":"Imelda Bates O, Hassall TM. Transfusion research priorities for blood services in sub-Saharan Africa. Br J Haematol [Internet]. 2017;177(6):855\u201363. https:\/\/pubmed.ncbi.nlm.nih.gov\/28449225\/.","DOI":"10.1111\/bjh.14577"},{"key":"672_CR3","unstructured":"OMS. S\u00e9curit\u00e9 transfusionnelle et approvisionnement en sang. OMS [Internet]. 2022; https:\/\/www.who.int\/fr\/news-room\/fact-sheets\/detail\/blood-safety-and-availability."},{"key":"672_CR4","doi-asserted-by":"crossref","unstructured":"Imelda Bates and Shirley Owusu-Ofori. Blood Transfusion. In: Gordon C. Cook AIZ, editor. Elsevier Public Health Emergency Collection [Internet]. Manson\u2019s T. 2020. pp. 229\u201334. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7310926\/.","DOI":"10.1016\/B978-1-4160-4470-3.50018-5"},{"key":"672_CR5","doi-asserted-by":"crossref","unstructured":"David J, Roberts S, Field M, Delaney IB. Problems and Approaches for Blood Transfusion in the Developing Countries. Hematol Oncol Clin North Am [Internet]. 2016;30(2):477\u201395. https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0889858815001987?via%3Dihub.","DOI":"10.1016\/j.hoc.2015.11.011"},{"key":"672_CR6","doi-asserted-by":"crossref","unstructured":"Morris D, van Hoving Dani\u00ebl, Stander M. SB. Utilisation of emergency blood in a cohort of South African emergency centres with no direct access to a blood bank. African J Emerg Med [Internet]. 2019;9(3):114\u20138. https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2211419X18300491.","DOI":"10.1016\/j.afjem.2019.01.017"},{"key":"672_CR7","doi-asserted-by":"crossref","unstructured":"Olivier Peyrony Dana\u00e9, Gamelon R, Brune A, Chauvin DA, Ghazali Y, Yordanov A, Arsicaud P, Gilleron S, Curac M-C, Richard. Anne-Laure Feral-Pierssens, Barbara Villoing, S\u00e9bastien Beaune, H\u00e9l\u00e8ne Goulet, Jean- and FP. Red Blood Cell Transfusion in the Emergency Department: An Observational Cross-Sectional Multicenter Study. J Clin Med [Internet]. 2021;10(11):2475. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8199757\/.","DOI":"10.3390\/jcm10112475"},{"issue":"4","key":"672_CR8","first-page":"244","volume":"22","author":"L Essola R\u00e9rambiah","year":"2015","unstructured":"Essola R\u00e9rambiah L, Kouegnigan Rerambiah L, Avomo C, Ngomas JF, Soami W, Sima Zu\u00e9 A. Besoin Transfusionnel Au service d\u2019accueil des urgences (SAU) adultes du centre hospitalier universitaire de Libreville: \u00e9tude prospective sur 10 mois. Transfus Clin Biol. 2015;22(4):244.","journal-title":"Transfus Clin Biol"},{"key":"672_CR9","unstructured":"Raveloson Nasolotsiry E, Rasamimanana Ng RM, Am H, Rn R, Ralison ASF. Evaluation des besoins en produits sanguins dans le service des urgences du CHU de Mahajanga (Madagascar). Soci\u00e9t\u00e9 l\u2019Anesth\u00e9sie R\u00e9animation d\u2019Afrique Francoph [Internet]. 2012;17(2). https:\/\/web-saraf.net\/?Evaluation-des-besoins-en-produits."},{"key":"672_CR10","unstructured":"Seth Lotterman SS. Blood Transfusion. Natl Libr Med [Internet]. 2022; https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK499824\/."},{"key":"672_CR11","doi-asserted-by":"crossref","unstructured":"Yaddanapudi SY. and L. Indications for blood and blood product transfusion. Indian J Anaesth [Internet]. 2014;58(5):538\u201342. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4260298\/.","DOI":"10.4103\/0019-5049.144648"},{"key":"672_CR12","unstructured":"Manuel Quintana D\u00edaz AM, Borobia Jos\u00e9A, Garc\u00eda Erce C, Maroun-Eid S, Fabra A, Carcas J, Fr\u00edas. and MM. Appropriate use of red blood cell transfusion in emergency departments: a study in five emergency departments. Natl Libr Med [Internet]. 2017;15(3):199\u2013206. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5448824\/."},{"issue":"5","key":"672_CR13","first-page":"1","volume":"10","author":"R Alexander Beyer","year":"2017","unstructured":"Alexander Beyer R, Rees CP, Wessman BT. Blood product transfusion in emergency department patients: a case-control study of practice patterns and impact on outcome. Int J Emerg Med [Internet]. 2017;10(5):1\u20138. 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[cited 2023 Apr 9]. https:\/\/datacommons.org\/place\/country\/HTI?utm_medium=explore&mprop=count&popt=Person&hl=en"}],"container-title":["International Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-024-00672-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12245-024-00672-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-024-00672-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T11:03:10Z","timestamp":1727434990000},"score":1,"resource":{"primary":{"URL":"https:\/\/intjem.biomedcentral.com\/articles\/10.1186\/s12245-024-00672-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,27]]},"references-count":18,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["672"],"URL":"https:\/\/doi.org\/10.1186\/s12245-024-00672-8","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-3707305\/v1","asserted-by":"object"}]},"ISSN":["1865-1380"],"issn-type":[{"value":"1865-1380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,27]]},"assertion":[{"value":"5 December 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 September 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors certify that the study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. Written informed consent was not required from participants, as the information was collected directly from patient records. However, the study was approved by the Zanmi Lasante Institutional Review Board (Application number: ZL01042022).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"128"}}