Abstract：
INTRODUCTION:Transfusion of packed red blood cells (pRBC) with appropriate indications is not only important for patient safety and well-being but is also crucial for proper utilization of resources and health care-related cost reduction. We aimed to investigate the clinical appropriateness of blood transfusion in Shariati Hospital, one of the largest academic medical centers in Tehran. METHODS:In this prospective observational study, 1000 transfusions of allogenic pRBCs from April 1st to October 31st, 2015 were included. The patients' characteristics, reason for hospitalization, indications for pRBC transfusions and ordering wards were collected. RESULTS:The mean level of hemoglobin before transfusion was 7.4 ± 2.3 g/dL in the emergency department, 7.5 ± 1.0 g/dL in medical wards, 10.4 ± 2.6 g/dL in surgical wards, and 9.1 ± 2.2 g/dL in the intensive care unit. The baseline hemoglobin levels differed significantly between the departments (P < 0.001). Approximately 22% (219 patients) with hemoglobin level ≥ 10 g/dL received pRBC, which appeared to be unnecessary and inappropriate. CONCLUSION:Despite current international guidelines emphasizing the importance of restricted transfusion policy, the transfusion of pRBC with insufficient indications occurred frequently in Shariati Hospital, particularly in surgical wards.
journal_name
Arch Iran Medjournal_title
Archives of Iranian medicineauthors
Sadeghi A,Belali S,Ali Asgari A,Morovat Z,Malekzadeh R,Emadi Adoi
0172002/AIM.004subject
Has Abstractpub_date
2017-02-01 00:00:00pages
83-85issue
2eissn
1029-2977issn
1735-3947pii
004journal_volume
20pub_type
杂志文章abstract：BACKGROUND AND OBJECTIVES:Platelet concentrates (PC) are used in thrombocytopenia and inherited or acquired platelet dysfunction disorders. Thus, retaining the platelets quality and function during storage will lead to desirable outcomes in treatment of such patients. METHODS: In this study, we evaluated 40 PC bags, ...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：015182/AIM.0010
更新日期：2015-02-01 00:00:00
abstract：BACKGROUND:Abnormal expression of microRNAs (miRNAs) plays an important role in development of several cancer types, including bladder cancer (BCa). However, the relationship between the ratio of miR-181/miR-100 and the prognosis of BCa has not been studied yet. The aim of this study was to evaluate the expression of m...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：0161909/AIM.008
更新日期：2016-09-01 00:00:00
abstract：:Several studies have shown that patients with acromegaly are at increased risk of developing colorectal polyps and cancer. The prevalence of polyp in colon of patients with acromegaly was variously reported between 23% and 53%. This study was conducted to determine the prevalence of polyp and cancer of colon in patien...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：07102/AIM.0019
更新日期：2007-04-01 00:00:00
abstract：BACKGROUND:In Iran, zoonotic and anthroponotic cutaneous leishmaniasis (CL) are caused by Leishmania major and L. tropica respectively. Despite extensive studies, no effective therapies have ever been reported for CL. The main objective of this research was to determine and compare the three different protocols for tre...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：10.34172/aim.2020.98
更新日期：2020-11-01 00:00:00
abstract：:The primary goal of therapy in patients with chronic hepatitis B is suppression and long-lasting maintenance of hepatitis B virus DNA to its lowest possible level. The threshold of hepatitis B virus DNA level for therapy is > or = 10(5) copies/mL for HBeAg-positive patients and > or = 10(4) for those with HBeAg-negati...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章,评审
doi：
更新日期：2006-01-01 00:00:00
abstract：BACKGROUND:Advanced computed tomography (CT) scanners enable concurrent assessment of coronary artery anatomy and myocardial perfusion. The purpose of this study was to assess dual-energy CT images in a group of patients suspected for ischemic heart disease and to evaluate agreement of cardiac computed tomography perfu...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：
更新日期：2019-07-01 00:00:00
abstract：:As there is a significant number of Iranian immigrant and illegal refugees living in marginal areas of large cities that might induce immunization gap in these areas. The aim of this study was to provide reliable information on vaccination status of these people. A cross sectional study was conducted on children 24-4...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：0141710/AIM.0011
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:Preventing violence is important especially in the Middle East, where many countries are struggling with violence. Knowing the affecting factors could help public policy makers to decrease violence level. Thus, this study is aimed to analyze health and other socio-economic factors that could affect interpers...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：
更新日期：2020-02-01 00:00:00
abstract：BACKGROUND:Breast cancer is the leading cause of carcinoma death in women. Proper treatment depends on the consideration of molecular biology status of tumor cells, which may determine the patient's treatment and prognosis. To determine the prognostic models for this disease, we evaluated the role of cell proliferation...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章,多中心研究
doi：07101/AIM.008
更新日期：2007-01-01 00:00:00
abstract：:Markers of bone turnover are becoming an important tool for practitioners in the management of osteoporosis. Therefore, it is essential to establish a reference database of the markers before using them in various clinical settings. A total of 785 individuals (37% males, 63% females) without apparent or suggested abno...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章,多中心研究
doi：08112/AIM.0015
更新日期：2008-03-01 00:00:00
abstract：:Evans syndrome is a rare syndrome associated with the simultaneous or sequential development of autoimmune hemolytic anemia (AIHA) and idiopathic thrombocytopenic purpura (ITP). Furthermore, acute kidney injury (AKI) is a syndrome characterized by the rapid loss of kidney excretory function and is most often secondary...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:There is controversial data available regarding the impact of age at menarche on cardio-metabolic parameters. This community-based study aimed to assess this association among Iranian women. METHODS:We recruited 5,344 eligible women out of 7718, aged 10-50 years who participated in the Tehran lipid and gluc...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:Phyllodes tumor (PT) is a rare tumor of the breast, which may occur during pregnancy or lactation. Several studies have reviewed and discussed PT occurring in pregnancy, gathering up to 14 patients. We performed a thorough systematic review of the literature in an attempt to find all reported cases, and iden...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：10.34172/aim.2020.46
更新日期：2020-07-01 00:00:00
abstract：BACKGROUND:Studies on the association between legume intake and metabolic syndrome (MetS) are sparse. The objective of this study is to evaluate the association between legume intake, MetS, and its components. METHODS:This study was conducted on 80 subjects (48% female) with MetS as cases and 160 age and gender-matche...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：012159/AIM.005
更新日期：2012-09-01 00:00:00
abstract：BACKGROUND:Mucocutaneous candidiasis (almost endogenous) is one of the most common manifestations of human immunodeficiency virus (HIV) infection. The aim of this study was the investigation of colonization patterns of Candida species, particularly C. dubliniensis, among mucosal sites of HIV-positive patients and deter...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：010134/AIM.006
更新日期：2010-07-01 00:00:00
abstract：BACKGROUND:Comorbidity of psychiatric disorders and substance abuse can intensify both conditions, and when advanced age is added to the combination, the patient will face a distinctive array of issues. This study evaluated the prevalence of psychiatric disorders in elderly substance users as well as certain related fa...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：0151811/AIM.003
更新日期：2015-11-01 00:00:00
abstract：BACKGROUND:It is suggested that pregnancy-associated plasma protein-A (PAPP-A) levels below the fifth percentile or less than 0.4 multiples of the median (MoMs) during the first trimester are closely associated with higher risk for neonatal abnormalities. We assessed the value of PAPP-A within the first trimester for p...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：
更新日期：2019-10-01 00:00:00
abstract：:From ancient time leprosy has been regarded as a terrifying, stigmatized disease; nevertheless, its cause remained unidentified up to the late 19th century. For centuries numerous leprosy victims worldwide suffered from its morbidity and were socially isolated. The afflicted individuals were segregated because they we...
journal_title：Archives of Iranian medicine
pub_type： 历史文章,杂志文章
doi：011146/AIM.0014
更新日期：2011-11-01 00:00:00
abstract：BACKGROUND:We aimed to examine cases of brucellosis that presented with severe thrombocytopenia and hemorrhagic diathesis. METHODS:A total of 10 brucellosis cases with severe thrombocytopenia were included in this case-series study. Patients' files were reviewed for their clinical and laboratory findings, as well as c...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：012155/AIM.0011
更新日期：2012-05-01 00:00:00
abstract：BACKGROUND:Glutaric Aciduria type 1 (GA1) is a metabolic inborn error and is characterized by increasing excursion of glutaric acid and its derivates, presented in microcephaly and dystonia. The disease is resulted from mutational inactivation in the GCDH gene encoding the glutaryl-CoA dehydrogenase. The defective enzy...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：0141709/AIM.009
更新日期：2014-09-01 00:00:00
abstract：BACKGROUND:Neuropsychological manifestations are present in 60% of patients with Systemic Lupus Erythematosus (SLE) among which cognitive dysfunction is the most common. This study aims to determine the prevalence of cognitive disorders in SLE patients, and the relationship between cognitive disorder domains and depres...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：0161904/AIM.006
更新日期：2016-04-01 00:00:00
abstract：:Between September 2010 and January 2012, four patients in our hospital were observed to have permanent dialysis catheters that adhered to either the SVC or right atrium. The first patient underwent intraoperative fluoroscopy and was scheduled for cardiac surgery. Unfortunately due to metabolic disturbances, the patien...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：013164/AIM.0011
更新日期：2013-04-01 00:00:00
abstract：BACKGROUND:Functional foods are extensively studied for their cancer preventive effects. In the present study, we compared the anti-cancer activity of aqueous extracts of three species of mushrooms including: Pleurotus ostreatus (PAE), Auricularia polytricha (AAE) and Macrolepiota procera (MAE) on COLO-205 cells. METH...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：0151805/AIM.006
更新日期：2015-05-01 00:00:00
abstract：BACKGROUND:Growth is an increase in the physical dimensions and its result is a quantitative change in the body. Development is a progressive increase in the skills and functional capacity of a child and its result is a qualitative change in a child's function. METHODS:This investigation was a descriptive, decompositi...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：
更新日期：2006-01-01 00:00:00
abstract：:Chronic ulcers of the oral mucosa are the lesions which a physician comes across frequently. "Eosinophilic Ulcer" is a rare variety of that. Eosinophilic ulcer or traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) is a chronic benign lesion of the oral mucosa and is a relatively recent delineated entity....
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：0141701/AIM.0015
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:Cardiovascular disease (CVD) is among the most common causes of mortality in all populations. Nonalcoholic steatohepatitis is a common finding in patients with CVD. Prevention of CVD in individual patients typically requires periodic clinical evaluation, as well as diagnosis and management of risk factors su...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：015188/AIM.009
更新日期：2015-08-01 00:00:00
abstract：:Primitive neuroectodermal tumors are fairly rare in uterus. A case of uterine body primitive neuroectodermal tumor in a 32-year-old Iranian woman is presented. The patient was admitted with abdominal pain and fever and underwent emergency exploratory surgery with total abdominal hysterectomy, bilateral salpingo-oophor...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：015184/AIM.0014
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:Suicide is among the top 20 leading causes of death globally in all age groups and it is still a significant social and public health problem. METHODS:Data on suicide deaths in 1987-2011 were extracted from the Turkish Statistical Institute mortality dataset based on ICD-9 and ICD-10 codes. The temporal tre...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：015186/AIM.006
更新日期：2015-06-01 00:00:00
abstract：BACKGROUND:It is known that there is an association between elevated total plasma homocysteine level and restenosis after percutaneous coronary angioplasty. OBJECTIVE:To evaluate the effect of lowering plasma homocysteine levels on the rate of restenosis after stent-percutaneous coronary angioplasty. METHODS:Folic ac...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2006-04-01 00:00:00
abstract：BACKGROUND:Because resistance to antifungal drugs is seen in patients, susceptibility testing of these drugs aids in choosing the appropriate drug and respective epidemiology. This study has investigated and compared susceptibility patterns of the Aspergillus species isolated from patients by the Clinical and Laborator...
journal_title：Archives of Iranian medicine
pub_type： 杂志文章
doi：012157/AIM.0011
更新日期：2012-07-01 00:00:00
