✦ LIBER ✦

Underutilizaton of Rh prophylaxis in the emergency department: A retrospective survey

✍ Scribed by Jeff Grant; Mark Hyslop

Publisher: Elsevier Science
Year: 1992
Tongue: English
Weight: 199 KB
Volume: 21
Category: Article
ISSN: 1097-6760
DOI: 10.1016/s0196-0644(05)80162-3

No coin nor oath required. For personal study only.

✦ Synopsis

Study objective:

To determine the practice of emergency physicians with regard to the issue of rh isoimmunization.

Design:

A retrospective chart review.

Setting:

A university-affiliated tertiary care hospital emergency department.

Type of participants:

Pregnant women presenting with a risk factor for rh sensitization.

Measurements and main results:

One hundred thirty-eight patient encounters were analyzed descriptively as to whether they were candidates for rh immune prophylaxis, and if so, whether it was given. most (68%) were hospitalized. of those, all were rh typed, but two patients were not given rh immune globulin (rhig) when indicated. of those discharged from the ed, most (86%) were not rh typed, and none was administered rhig.

Conclusion:

This study demonstrates a need for increased attention to the potential for rh isoimmunization in patients presenting to the ed.

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