Abstract
Purpose
Blood transfusion is an important part of patient management. Indications for blood use must be clear in the mind of ordering clinicians, to avoid its misuse and also to avoid unnecessary exposure of the patient to donor blood antigens, adverse reactions and transfusion transmissible diseases.
Methods
In a retrospective pilot study, details of whole blood and components transfused were noted and correlated with the patient’s diagnosis and indications for transfusion, during 1 month.
Results
The blood units supplied were 720. Whole blood was the most utilized product; followed by packed red blood cells. Supply of blood was maximum to the surgical wards. The patients of trauma followed by malignancy and surgery required whole blood mostly. Anemia was the most common indication for blood products.
Conclusions
Periodic review of blood component usage is very important to assess the blood utilization pattern in any hospital.
Keywords: Blood units, Whole blood, Blood components, Blood usage, Periodic review of blood usage
Full Text
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References
- 1.Hillyer C.D., Silberstein L.E., Ness P.M., Anderson K.C., editors. Blood Banking and Transfusion Medicine. 2nd Edition. New York: Churchill Livingstone; 2003. [Google Scholar]
- 2.Yeh C.J., Wu C.F., Hsu W.T., Hsieh L.L., Lin S.F., Liu T.C. Transfusion audit of fresh frozen plasma in southern Taiwan. Vox Sang. 2006;91:270–274. doi: 10.1111/j.1423-0410.2006.00819.x. [DOI] [PubMed] [Google Scholar]
- 3.Hawkins T.E., Carter J.M., Hunter P.M. Can mandatory pretransfusion approval programmes be improved? Transfus Med. 1994;4:45–50. doi: 10.1111/j.1365-3148.1994.tb00242.x. [DOI] [PubMed] [Google Scholar]
- 4.Greeno E., McCullough J., Weisdorf D. Platelet utilization and the transfusion trigger: a prospective analysis. Transfusion. 2007;47:201–205. doi: 10.1111/j.1537-2995.2007.01089.x. [DOI] [PubMed] [Google Scholar]
- 5.Diedrich B., Remberger M., Shanwell A., Svahn B.M., Ringden O. A prospective randomized trial of a prophylactic platelet transfusion trigger of 10 × 109 per L versus 30 × 109 per L in allogenic hematopoeitic progrnitor cell transplant recipients. Transfusion. 2005;45:1064–1072. doi: 10.1111/j.1537-2995.2005.04157.x. [DOI] [PubMed] [Google Scholar]
- 6.Zimmerman R., Buscher M., Linhardt C., Handtrack D., Zinqsem J., Weisbach V., et al. A survey of blood component use in a German University Hospital. Transfusion. 1997;37:1075–1083. doi: 10.1046/j.1537-2995.1997.371098016449.x. [DOI] [PubMed] [Google Scholar]
- 7.Vishwanathan C., Jain R., Kamath M. Blood utilization review in a Tertiary Care Hospital. Ind J Hemat Blood Transf. 1999;17:26–31. [Google Scholar]
- 8.Harmening DM (1998) Modern Blood Banking and transfusion practices. 3rd Edition, FA Davis Company Philadelphia
- 9.The clinical use of blood in medicine, obstetrics, paediatrics, surgery & anesthesiology, trauma & burns. Geneva: WHO Blood Transfusion Safety; 2001. [Google Scholar]
- 10.Gaur D.S., Kishore S., Harsh M., Kusum A., Bansal R. Pattern of cancers amongst patients attending Himalayan Institute of Medical Sciences, Dehradun. Indian J Pathol Microbiol. 2006;49:193–198. [PubMed] [Google Scholar]
- 11.Wallis J.P., Wells A.W., Chapman C.E.Changing indications for red cell transfusion from 2000–2004 in the North of England Transfus Med 200717315–316. 10.1111/j.1365-3148.2007.00770.x17680959 [DOI] [Google Scholar]
- 12.Lim Y.A., Lee W.G., Cho S.R., Hyun B.H., Sc D. A study of blood usage by diagnoses in a Korean University Hospital. Vox Sang. 2004;86:54–61. doi: 10.1111/j.0042-9007.2004.00385.x. [DOI] [PubMed] [Google Scholar]
- 13.Stanworth S.J., Cockburn H.A., Boralessa H., Contreras M. Which group of patients are transfused? A study of red cell usage in London and southeast England. Vox Sang. 2002;83:352–357. doi: 10.1046/j.1423-0410.2002.00237.x. [DOI] [PubMed] [Google Scholar]
- 14.Midori K., Keiko N., Kuninori K., Yuriko N., Yoko Y. Blood component usage at the emergency and critical care unit, Fukuoka University Hospital. Japanese J Transfus Med. 2005;51:430–434. [Google Scholar]
- 15.Makroo R.N., Raina V., Kumar P., Thakur U.K. A prospective audit of transfusion requests in a tertiary care hospital for the use of fresh frozen plasma. Asian J Transfus Sci. 2007;1:59–61. doi: 10.4103/0973-6247.33847. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Pratibha R., Jayaranee S., Ramesh J.C., Lopez C.G., Vasanthi N. An audit of fresh frozen plasma usage in a tertiary referral centre in a developing country. Malays J Pathol. 2001;23:41–46. [PubMed] [Google Scholar]
- 17.Chaudhary R., Singh H., Verma A., Ray V. Evaluation of fresh frozen plasma usage at a tertiary care hospital in North India. ANZ J Surg. 2005;75:573–576. doi: 10.1111/j.1445-2197.2005.03422.x. [DOI] [PubMed] [Google Scholar]
