Dealing with Patients Rejecting a Transfusion for Religious Reasons

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  • 宗教的輸血拒否患者への対応について
  • ―その新たなる展開―
  • —A New Development—

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Abstract

As for requests for non-transfusion treatment by patients such as Jehovah's Witnesses, at our hospital, we have conventionally dealt with them using a relative non-transfusion treatment that attaches weight to the life prognosis, based on a manual. We had previously experienced 28 patients (age range, 20-88; ratio of males to females, 0.22) during the period from 1992 to May, 2008. Among them, 19 patients had indications for surgery or a transfusion and only 12 patients (63%) were able to undergo surgery or an examination at our hospital. Seven patients were transferred to other hospitals and 6 of them underwent surgery. Of the surgical cases at our hospital and other hospitals, there were no dead cases.<BR>Because the High Court decided to legally approve the right of self-determination by patients regarding rejecting transfusions in February, 2000, the manual at our hospital was revised, taking absolute non-transfusions into consideration. However, regarding patients requiring emergency surgery or those under 16 years of age, we are dealing with them conventionally, using relative non-transfusions. As for patients aged 16 or older, in whom waiting for surgery is an option, it was determined that they should be dealt with by forming a group of physicians willingly participating in the treatment, then executing non-transfusion treatments after receiving the approval of the ethical committee of our hospital.

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