Human albumin solutions: an audit of use in three major metropolitan hospitals: Subcommittee of the Victorian Drug Usage Advisory Committee
作者:
Katherine McGrath,
Mary Hemming,
Fiona Landgren,
Bryan Rush,
Martin Van der Weyden,
Paul Hargreaves,
Robert Moulds,
Neil Naismith,
期刊:
Medical Journal of Australia
(WILEY Available online 1991)
卷期:
Volume 154,
issue 10
页码: 657-660
ISSN:0025-729X
年代: 1991
DOI:10.5694/j.1326-5377.1991.tb121251.x
出版商: Wiley
数据来源: WILEY
摘要:
ObjectiveTo evaluate the volume used and the indications for use of the human albumin solutions, stable plasma protein solution and normal serum albumin, in Victorian metropolitan teaching hospitals.DesignThe Victorian Drug Usage Advisory Committee conducted a prospective audit by means of a questionnaire in three major Melbourne teaching hospitals over a three month period. All bottles of the human albumin solutions issued were numbered and a questionnaire regarding indications for use was completed for each patient treated with either product.Outcome measuresThe results were compared with the recommendations of the Australasian Society of Blood Transfusion to determine whether usage was appropriate, and the number of bottles used was analysed for each hospital and each major indication.ResultsThe survey was comprehensive (84% of the forms were returned) and demonstrated that these products are used for appropriate clinical categories, for example, hypovolaemia, hypoalbuminaemia, and not for inappropriate indications, such as nutritional support or wound healing. There was however a marked variation in the level of usage for a given indication between the three hospitals.ConclusionsThis variation reflected a considerable difference in unit policy regarding the use of these products in preference to crystalloid or synthetic colloid solutions. The variation suggests the need for more specific guidelines for the use of these products in defined clinical settings.
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