Blood ordering and utilization in patients undergoing elective general surgery procedures in a tertiary care hospital: A prospective audit

Author:

SHAIKH OSEEN H.1,BHATTARAI SANDEEP1,SHANKAR V. GOMATHI1,BASAVARAJEGOWDA ABHISHEKH2

Affiliation:

1. Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India

2. Department of Transfusion Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India

Abstract

Background Blood ordering is commonly done for patients undergoing major elective surgery. Excessive order of the blood for elective surgery leads to wastage of resources, time and workforce. Auditing preoperative blood ordering decreases the cost of medical care by avoiding unnecessary cross-match without compromising patient safety. Methods For this hospital-based audit, we collected data prospectively from July 2017 to June 2018 regarding the transfusion and transfusion indices, namely cross-match-totransfusion ratio (C/T ratio), transfusion probability (T%), transfusion index (TI) and maximum surgical blood ordering schedule (MSBOS) for elective surgeries done in the Department of Surgery. Results A total of 1151 patients were included in the study. A total of 160 units of blood were issued of which only 138 were transfused to 116 patients. Seventy-one procedures were included in the study. The C/T ratio was less than 2.5 for 16 procedures, T% was >50% for 9 procedures and MSBOS was more than 0.5 for 16 procedures. Conclusion Cross-matching is overused for elective surgical procedures. Only 16 of the 71 procedures had an ideal C/T ratio. Group and screen policy can be adopted for most of the commonly performed procedures, and cross-matching of blood may not be needed.

Publisher

Scientific Scholar

Subject

General Medicine

Reference20 articles.

1. The maximum surgical blood order schedule and surgical blood use in the United States;Friedman;Transfusion,1976

2. Blood utilization in elective surgery-requirements, ordering and transfusion practices;Bhutia;Natl Med J India,1997

3. Blood utilisation in elective general surgery cases: Requirements, ordering and transfusion practices;Vibhute;J Postgrad Med,2000

4. An audit of blood cross-match ordering practices at the Aga Khan University Hospital: First step towards a maximum surgical blood ordering schedule;Chawla;J Pak Med Assoc,2001

5. 2011 update to the society of thoracic surgeons and the society of cardiovascular anesthesiologists blood conservation clinical practice guidelines;Ferraris;Ann Thorac Surg,2011

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