Ratio of cross-matching to transfusion of blood or blood components: A study in a tertiary care hospital

Background: Transfusion of blood components and derivatives in day care unit is an eminent part of management of transfusion dependent patients. Day care transfusion service is an alternative to hospital admission and beneficial for those patients who receive blood more frequently for their survival. Objective: The aim of present study is to assess Transfusion Services provided in a Day Care Unit (DCU) of a tertiary care hospital. Methodology: This study was carried out in DCU of Transfusion Medicine Department, Bangabandhu Sheikh Mujib Medical University, (BSMMU) at Dhaka during January 2014 to December 2014. Data were collected from record registers. Recorded retrospective data were analyzed as percentage and proportion. Results: Total recipients were 718. Among those 424 (59.05%) were male and 294 (40.95%) were female and 562 (78.27%) were between 10 to 40 years. A total of 8587 units of blood components were used during this period. Red Cell Concentrate was most commonly utilized product 6388 (74.39%) followed by Fresh Frozen Plasma (FFP) 1360 (15.83%), Platelet Concentrate 544 (6.33%), Whole blood 260 (3.05%) and Cryoprecipitate 35 (0.40%). Transfusion was required more frequently in thalassaemic 365(50.88%) patients. Haemophilia 77(10.72%) and aplastic anaemia patients 49 (6.82%) were next high. The main transfusion reaction observed during transfusion was febrile non-haemolytic reactions. Conclusion: For increasing use of specific blood product and hassle-free transfusion services this kind of day care unit services should be strengthened. Long term study of this kind will help us to develop safe clinical transfusion practice.

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Pattern of blood component cross-matching and their utilization in a tertiary care hospital of Jammu region

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20181293 ◽

2018 ◽

Vol 6 (4) ◽

pp. 1337 ◽

Cited By ~ 1

Author(s):

Irm Yasmeen ◽

Ibrar Ahmed ◽

Meena Sidhu

Keyword(s):

Whole Blood ◽

Tertiary Care ◽

Blood Component ◽

Care Hospital ◽

Blood Components ◽

Cross Sectional ◽

Inappropriate Use ◽

Wide Range ◽

Surgical Conditions ◽

Cross Matching

Background: Transfusion of donated blood remains the mainstay of treatment for a wide range of medical and surgical conditions. Although it can save life, but transfusion of blood is not without risk. Clinicians should cautiously assess the appropriateness of indications before requesting various blood components thereby preventing misuse of blood and unnecessary exposure of patient to various transfusion transmitted infections and antibodies production. This study was conducted to determine the pattern of whole blood (WB) and blood component cross-matching and their utilization and to minimize the inappropriate use of blood and its components.Methods: This cross-sectional prospective study was performed at SMGS Hospital Blood Bank, Jammu from April 2016 to September 2016. The requisition forms were analysed at the reception counter and inside the pre-transfusion testing laboratory for any error. The department wise utilization of blood and its components, Crossmatching to transfusion (C/T) ratio, transfusion probability (T%) and transfusion index (TI) were calculated.Results: A total of 14376 requests for cross-matching of blood and its components were received. All the units were cross-matched. Out of these, 12766(88.8%) units of blood and its components were issued to various departments. The most common indication for using packed red cells and whole blood was anemia and bleeding (APH/PPH/Trauma). The total C/T Ratio, transfusion probability (T%) and Transfusion index(TI) of various blood components were 1.12:1, 88.8% and 0.88 respectively.Conclusions: Our study indicates efficient usage of blood and its component. However, awareness is still needed amongst the clinicians and residents to ensure the appropriate use of blood and its components in the future as well. Hospital transfusion committee has to develop transfusion guidelines and subsequent implementation of such guidelines to assure effective blood utilization. MSBOS (maximum surgical blood ordering schedule) should be formulated for elective procedures with regular auditing, feedback, and modifications to improve blood ordering and utilization.

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Study on Day Care Transfusion Services in Transfusion Medicine Department of a Tertiary Care Hospital

Bangladesh Medical Journal ◽

10.3329/bmj.v48i2.51290 ◽

2019 ◽

Vol 48 (2) ◽

pp. 28-31

Author(s):

Farida Parvin ◽

Md Ashadul Islam ◽

Tashmim Farhana Dipta ◽

Danish Arefin Biswas ◽

Fakruddin Bhuiyan ◽

...

Keyword(s):

Day Care ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Transfusion Practice ◽

Care Hospital ◽

Transfusion Medicine ◽

Blood Components ◽

Medicine Department ◽

Long Term Study ◽

Medical University

Transfusion of blood components and derivatives in day care unit is an eminent part of management of transfusion dependent patients. Day care transfusion service is an alternative to hospital admission and beneficial for those patients who receive blood more frequently for their survival. The aim of present study is to assess Transfusion Services provided in a Day Care Unit (DCU) of a tertiary care hospital. This study was carried out in DCU of Transfusion Medicine Department, Bangabandhu Sheikh Mujib Medical University, (BSMMU), in Dhaka during January to December 2014. Data were collected from record registers. Recorded retrospective data were analyzed as percentage and proportion. Total recipients were 718. Among those 424 (59.05%) were male and 294 (40.95%) were female and 562 (78.27%) were between 10 to 40 years. A total of 8587 units of blood components were used during this period. Red Cell Concentrate was most commonly utilized product 6388 (74.39%) followed by FFP 1360 (15.83%), Platelet Concentrate 544 (6.33%), Whole blood 260 (3.05%) and Cryoprecipitate 35(0.40%). Transfusion was required more frequently in thalassaemic 365(50.88%) patients. Haemophilia 77(10.72%) and aplastic anaemia patients 49 (6.82%) were next high. The main transfusion reaction observed during transfusion was febrile non-haemolytic reactions. For increasing use of specific blood product and hassle free transfusion services this kind of day care unit services should be strengthened. Long term study of this kind will help us to develop safe clinical transfusion practice. Bangladesh Med J. 2019 May; 48 (2): 28-31

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A Cross Sectional Study to Evaluate Decision to Delivery Interval in Emergency Caeserian Section at a Tertiary Care Hospital

VIMS Health Science Journal ◽

10.46858/vimshsj.8204 ◽

2021 ◽

Vol 8 (2) ◽

pp. 67-70

Author(s):

Dr. Pramod R. Gade ◽

Dr. Sharmeen K. Vazifdar ◽

Dr. Gautam S. Aher

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Fetal Outcome ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Factors Affecting ◽

Maternal Morbidity And Mortality ◽

Cross Matching

Background: One of the main factors affecting maternal morbidity and mortality is the decision to delivery interval (DDI) that is, the time taken from the decision to take the patient up for caesarean section to the delivery of the fetus. Method: This is a retrospective observational study conducted over a period of twelve months where 370 patients were studied. Results: No delay was seen in 49.2% cases whereas most delay was noted after decision by obstetricians to transfer patient to OT (22.2%). Conclusion: In order to get favourable maternal and fetal outcome decision to delivery interval should be within 30 minutes and this can be made possible if factors like results of blood investigations and cross matching of blood can be made available on time.

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A descriptive study of utilization of blood and blood components in a tertiary care hospital, Gadag

International Journal of Clinical and Diagnostic Pathology ◽

10.33545/pathol.2019.v2.i2c.89 ◽

2019 ◽

Vol 2 (2) ◽

pp. 131-135

Author(s):

Dr. Sampat Kumar ◽

Dr. Ashok KP ◽

Dr. Basavaraj P Bommannahalli

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Descriptive Study ◽

Care Hospital ◽

Blood Components

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Determination of rate and analysis of reasons for discarding blood and blood components in a blood bank of tertiary care hospital:a retrospective study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20170671 ◽

2017 ◽

Vol 5 (3) ◽

pp. 1111 ◽

Cited By ~ 4

Author(s):

Surekha K. Chavan

Keyword(s):

Patient Management ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Modern Medicine ◽

Blood Bank ◽

Blood Collection ◽

Care Hospital ◽

Blood Components ◽

Donated Blood

Background: The transfusion of blood and blood components has become an integral part of patient management in modern medicine. There are no substitutes for human blood. Thus, proper utilization of blood is necessary with minimal wasting.Methods: A total of 15,333 donors donated blood during the study period of 3 years in blood bank of a tertiary care hospital, south Maharashtra from 1 st of January, 2013 to 31 st December 2015, which were screened.Results: Of the total 3355 whole blood collection, 615 blood bags were discarded. Out of these 615 bags 544 (88.45%) were discarded because of date expired, 41(6.66%) blood bags were discarded due to seropositivity for TTI and 22 (3.5%) blood bags were due under collection and leakage and other reasons contributed for 1.3%. A total of 4026 blood components were discarded against 29,715 blood components prepared during the study period. Among blood components discarded, most common units were platelets. The most common cause of discarding the blood components was expiry of date due to non-utilization were 3475 (86.31%).Conclusions: Properly implemented blood transfusion policies, training of staff as well as implementation of automation will also help to improve process and output of BTS. This would reduce the discarding of blood components and wastage due to non-conformance. These discarded bags, because they are unutilized are both financially as well as socially harmful to the blood bank.

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