scholarly journals Blood transfusion practices in a tertiary care center in Northern India

2017 ◽  
Vol 9 (02) ◽  
pp. 071-075 ◽  
Author(s):  
Sonam Kumari
Keyword(s):  
Blood Transfusion ◽  
Care Center ◽  
Tertiary Care ◽  
Transfusion Practice ◽  
Northern India ◽  
Transfusion Ratio ◽  
Surgery Department ◽  
Transfusion Guidelines ◽  
Very High ◽  
Cross Match

Abstract BACKGROUND: Blood transfusion plays vital roles in the medical and surgical practice. To achieve optimum use of blood, transfusion has to be appropriate and judicious consuming minimal resources and manpower. OBJECTIVE: To evaluate the pattern of blood transfusion requests and utilization with the aim of determining transfusion practice. MATERIALS AND METHODS: Blood request forms and cross-match worksheets at the blood bank were analyzed over a 6-month period. Numbers of requisitions, blood units cross-matched, issued out, transfused, and nontransfused were calculated. Nonusage probability (NUP) and the cross-match to transfusion ratio (CTR) for each clinical unit were computed. RESULTS: Two thousand two hundred and sixty-eight units of blood were cross-matched for 1487 patient’s transfusion requests, out of which only 1455 (64.2%) were transfused giving a total CTR of 1.6 for the hospital. The CTR for the various clinical units were: Obstetrics and gynecology (O and G) 2.7, surgery 2.1, orthopedics 1.9, medicine 1.1, pediatrics 1, and oncology 1. CONCLUSIONS: The overall CTR (1.6) of the hospital was within the optimal range except for the O and G and surgery department which were having very high NUP and CTR indicating their suboptimal transfusion practices. Introducing revised transfusion guidelines, maximum surgical blood ordering schedule and type, screen, save, and abbreviated cross-match method can help toward adequate requisition and utilization of blood thereby reducing wastage of resources, time, and manpower.

scholarly journals Blood transfusion practices in a tertiary care hospital in Nepal

2020 ◽  
Vol 10 (2) ◽  
pp. 1728-1732
Author(s):  
Amar Narayan Shrestha ◽  
Barun Babu Aryal ◽  
Ayusha Poudel ◽  
Shraddha Poudel ◽  
Shreya Shrestha ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Tertiary Care ◽  
Transfusion Practice ◽  
Care Hospital ◽  
Good Utilization ◽  
Use Of Resources ◽  
The Cross ◽  
The Individual ◽  
Transfusion Ratio ◽  
Cross Match

Background: Blood transfusion is an integral part of patient management. Good transfusion practice guided by standard protocols is considered ideal for optimal use of resources and manpower. Cross-match requests disproportionate to the actual requirement causes overestimation of blood usage and potential wastage. This study aims to determine the crossmatch, transfusion, and utilization rates for blood using transfusion index, and cross-match to transfusion ratio in the various departments of the hospital for the evaluation of transfusion practices. Materials and Methods: A retrospective study was conducted using the records from the hospital blood bank for 12 months to obtain transfusion and cross-match records from various clinical units. Transfusion requests, units cross-matched, and completed transfusions were used to calculate the cross-match to transfusion ratio, and transfusion index for each department. Results: A total of 5156 units of blood were cross-matched for 3437 transfusion requests, out of which 3752 were transfused, giving a mean cross-match to transfusion ratio of 1.37. The non-usage of blood was 27.2% and the transfusion index stood at 1.09. The cross-match to transfusion ratio for the individual clinical units ranged from 1.75 (Surgery) to 1.14 (Medicine). Conclusions: The cross-match to transfusion ratio and transfusion index were within recommended ranges, showing good utilization and low blood wastage. The establishment of a blood ordering protocol via a multidisciplinary approach should be considered to further optimize blood transfusion practices.

scholarly journals Blood Transfusion Practice before and after Implementation of Type and Screen Protocol in Emergency Department of a University Affiliated Hospital in Iran

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Mostafa Alavi-Moghaddam ◽  
Mahmoud Bardeh ◽  
Hossein Alimohammadi ◽  
Habib Emami ◽  
Seyed-Mostafa Hosseini-Zijoud
Keyword(s):  
Emergency Department ◽  
Blood Transfusion ◽  
Transfusion Practice ◽  
Time Interval ◽  
Blood Transfusions ◽  
Common Diseases ◽  
Before And After ◽  
Transfusion Ratio ◽  
Cross Match

Background. Blood transfusion is the cornerstone of therapy for many serious and common diseases. This study was performed to assess blood transfusion practice before and after implementation of type and screen protocol in emergency department of a university affiliated hospital in Iran, 2012-2013.Methods. An audit was studied before and after the implementation of type and screen protocol. The number of blood transfusions, time interval between blood order and transfusion, cross-match to transfusion ratio (C/Tratio), and transfusion index (TI) were checked.C/Tratio was used as a measure of the efficiency of blood ordering practice. We compared our results before and after implementation of type and screen protocol.Results. In present study after implementation of type and screen protocol, the time interval between requesting blood transfusion and transfusion of blood has decreased significantly (P<0.001). The number of blood transfusions required by actual patients increased significantly from 1/2 to 2 (P<0.001). The average cross-match to transfusion (C/T) ratio got near 1.13 from 1.41 and TI got near 0.91 from 0.58 (P<0.001).Conclusion. The implementation of T&S protocol has been proven to be safe, efficient, and beneficial to the transfusion practice of our hospital from the current study.

Blood Requests and Utilization in Elective Surgical Patients in a Nigerian Teaching Hospital

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S168-S168
Author(s):  
A T Olatinwo ◽  
A Bolarinwa ◽  
T Adeyemo
Keyword(s):  
Blood Transfusion ◽  
Tertiary Hospital ◽  
Transfusion Practice ◽  
Surgical Patients ◽  
Surgical Interventions ◽  
Elective Surgical Procedures ◽  
Blood Transfusion Service ◽  
One Year ◽  
Transfusion Ratio ◽  
Transfusion Guidelines

Abstract Introduction/Objective Although requesting for blood is a very common practice for patients for surgical interventions, the average requirement for a particular procedure is usually based on subjective anticipation of blood loss rather than on evidence based estimates. Over-ordering of blood components results in wasting of technical time, reagents and imposes extra cost on patients. The objective of this study is to assess blood ordering and utilization in a Nigerian Tertiary Hospital. Methods A review of one year data collected from the records of all discharged surgical patients and blood bank registers was done. Blood utilization was calculated using crossmatch to transfusion ratio (C/T), transfusion probability (%T), and transfusion index (TI). Results A crossmatch request for 1,228 units for 569 patients was made. Requests was higher for gynaecological cases (24.8 %) followed by orthopaedic procedures and least for cardiothoracic and urological surgeries (1.4 % each). Out of the crossmatched units, 880 units was transfused for 373 patients. The overall of C/T, %T, and TI were 1.4, 65.6%, and 1.55 respectively. The highest C/T was observed in elective caesarean sections (2.25) and neurosurgeries (2.2) while the lowest C/T was observed in oral maxillofacial surgeries (1.09) Conclusion Unnecessary crossmatching with minimal transfusion practice was observed in many elective surgical cases. Blood request pattern for elective surgeries needs to be revised and unnecessary requests minimized. There is a need for a Hospital blood transfusion committee which should come up with blood request policies and transfusion guidelines for elective surgical procedures and also conduct regular blood transfusion service audits.

A RETROSPECTIVE STUDY OF BLOOD TRANSFUSION PRACTICES IN A TERTIARY CARE HOSPITAL OF NORTH INDIA.

2021 ◽  
pp. 25-29
Author(s):  
Rakesh Kumar Sharma ◽  
Shahid Anjum Awan ◽  
Vijay Sawhney
Keyword(s):  
Blood Transfusion ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Transfusion Practice ◽  
Blood Bank ◽  
Control Measures ◽  
North India ◽  
Care Hospital ◽  
Important Concern ◽  
Life Saving

INTRODUCTION: Blood transfusion is an important concern for the society, as it is life saving for patients with bleeding disorders, accidents, surgeries, inherited/acquired hematological diseases and malignancies. Generally, donors are classied into the following categories: voluntary, family replacement, remunerated or paid donors, and autologous donor. AIMS & OBJECTIVES:To understand the importance of Blood & its safe Transfusion practice in a Teaching Hospital. METHODOLOGY: An Observational study was conducted over a period of 12 months from January 2019 to December 2019 in a 750 –bedded Tertiary Care Hospital of Jammu(UT). OBSERVATIONS: In addition to providing Blood-Transfusion Services to the patients admitted in SMGS Hospital Jammu & Other Associated Hospitals of GMC Jammu, the Blood-Bank is also catering to the needs of Registered Private Nursing Homes & Hospitals of Jammu(UT).This Blood-Bank has exceptionally maintained a record of consuming the whole stock of Blood without wasting even a single pint of blood. DISCUSSION: The Aim of Blood Transfusion Services is to supply good Quality of Blood & its Components to the Patients & avoid any risk to the Donors as well as Recepients. Hence it is extremely essential to institute strict Quality Control Measures RECOMMENDATIONS: Recommended that Upgradation of Blood-Bank is essential to cater with the needs of Additional bed-strength that SMGS Hospital is going to acquire in the coming future.

scholarly journals Comparison between conventional tube method and gel card technique for blood crossmatching: A study in a tertiary care center of north India

2020 ◽  
Vol 11 (4) ◽  
pp. 6500-6503
Author(s):  
Ragini Singh ◽  
Prachi Garg ◽  
Anoop Kumar ◽  
Sucheta ◽  
Meenal Babra
Keyword(s):  
Blood Transfusion ◽  
Sensitivity And Specificity ◽  
Care Center ◽  
Tertiary Care ◽  
Test Tube ◽  
North India ◽  
Advantages And Disadvantages ◽  
Time Required ◽  
Spin Tube ◽  
Cross Matching

The cross-matching of blood can be performed by various methods like saline tube method and gel card technique. Saline tube method is most commonly used in blood banks, whereas the latest method used is Gel card technique for cross-matching. Both techniques have their advantages and disadvantages. The main aim of this study was the comparison of gel card and conventional tube test for sensitivity and specificity, time and efficacy. This prospective study was done at the Department of Blood Transfusion, BPS GMC Khanpur Kalan, Sonipat, Haryana. A total of 500 samples collected at the Department of Blood Transfusion, were cross-matched using conventional tube method (spin tube method) with and without using AHG and Gel card Method. 497 (99.4%) samples were compatible, and 3 (0.6%) samples were incompatible with Gel card method, but by test tube method 492 (98.4%) samples were consistent, and 05(1.6%) were false positive (FP). Incompatibility of those 05 samples (FP) disappeared after incubation with AHG reagent at 37°C saline tube method. The sensitivity and specificity of both gel card method and saline tube method with AHG methods is 100% whereas the specificity of saline tube method without AHG is 98.9%. The average time taken by Gel card method was 20-30 minutes for a single compatibility test whereas in conventional spin tube method with the use of AHG (IAT) average time required was 90 minutes and without AHG it was 45-60minutes. The sensitivity and specificity of the spin tube method and the gel card method are comparable to each other. But the gel card method is easy to perform, rapid, reliable procedure and results can be recorded. In contrast, spin saline tube method is more time consuming, and results cannot be preserved. Thus gel card technique can be preferred over the spin tube method.

scholarly journals Quality of life in children with thalassemia major following up at a tertiary care center in India (GOTQoL)

2018 ◽  
Vol 6 (1) ◽  
pp. 168
Author(s):  
Ankush Ankush ◽  
Amit Dias ◽  
M. P. Silveira ◽  
Yash Talwadker ◽  
Joachim Piedade Souza
Keyword(s):  
Quality Of Life ◽  
Blood Transfusion ◽  
Care Center ◽  
Tertiary Care ◽  
Thalassemia Major ◽  
Summary Score ◽  
Healthy Children ◽  
Tertiary Care Center ◽  
Government School

Background: This study aims to measure the quality of life (QoL) scores in children with thalassemia major following up at a tertiary care center for routine blood transfusion in comparison to healthy children.Methods: A case control study design was adopted, wherein on the QoL of 36 children with thalassemia in the age group 5 to 18 following up for blood transfusion at Goa Medical College, was measured using PedsQL™ 4.0. This was compared to the QoL in age and gender matched healthy children from a government school. A higher score on a subscale indicates better quality of life on this instrument.Results: The children with thalassemia had lower mean scores on physical (67.85 vs 84.24; P <0.001), social (78.34 vs 87.95; P=0.002) and school (62.64 vs 79.48; P <0.001) functioning subscales compared to the healthy children. They also had lower mean psychosocial summary score (73.32 vs 82.01; P=0.003) and total health summary score (71.95 vs 82.57; P <0.001). The physical functioning subscale had significantly higher score among the children who were on chelation and also among the ones whose parents reported as being informed about the condition.Conclusions: The children with thalassemia have poor QoL in physical, social and school functioning domains. Improvement in QoL requires consolidated efforts on part of doctors, parents, school authorities and policy makers. These patients should be provided with low cost-effective chelation therapy. The parents need to be counselled about this disease by the treating team.

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