QUALITY ASSURANCE IN THE CASE OF PREOPERATIVE DONATION OF AUTOLOGOUS BLOOD - A SCORE-SYSTEM ASSESSES THE PROGNOSIS OF ADVERSE REACTIONS

A schematized documentation system for recording incidents, events and complications on the basis of the recommendations given by the DGAI f or the field of anesthesia appears to be an excellent choice to create a basis for the collection of data relevant to quality assurance in t he case of preoperative donation of autologous blood, Quantifying the severity of adverse reactions to 6,459 predeposited donations which we re noted in 1961 patients by this system demonstrates that a score sys tem used in anesthesiology, the Munich-risk-checklist, ascertains the prognosis of adverse reactions associated with preoperative donation o f autologous blood. The presence of 7 relative contraindications to pr edonation of autologous blood increased prevalence and grade of advers e reactions: High age, high or low weight, labile hypertension, method of donation, number of previous donations, coronary artery disease, a ngina and myocardial infarction which occured more than six months pre viously.