Volume 13, Issue 4 (Winter 2016)                   Sci J Iran Blood Transfus Organ 2016, 13(4): 259-268 | Back to browse issues page

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Aqmasheh S, Shamsasenjan K. The evaluation of blood crossmatches and blood utilization at university hospitals in Tabriz. Sci J Iran Blood Transfus Organ 2016; 13 (4) :259-268
URL: http://bloodjournal.ir/article-1-1045-en.html
The evaluation of blood crossmatches and blood utilization at university hospitals in Tabriz
S. Aqmasheh , K. Shamsasenjan *
Keywords: Key words: Transfusion, Hospitals, utilization
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References :  
  1. Karami Sh PN, Sanei Moghadam E, Khosravi S. Consumption trend of blood and bloodcomponents in Zahedan teaching hospitals. Sci J Iran Blood Transfus Organ 2009; 5(4): 257-66. [Article in Farsi]
  2. Khoshrang H, Madani AH, Roshan ZA, Ramezanzadeh MS. Survey on blood ordering and utilisation patterns in elective urological surgery. Blood Transfus 2013; 11(1): 123-7.
  3. Friedman BA, Oberman HA, Chadwick AR, Kingdon KI. The maximum surgical blood order schedule and surgical blood use in the United States. Transfusion 1976; 16(4): 380-7.
  4. Ashok K, Nitin N, Mayank V, Abhishek M, Vaibhav G, Akshay P, et al. Evaluation of Blood Utilization in Elective Surgery-Requirement, Ordering and Transfusion Practices. IJHSR 2014; 4(6): 186-99.
  5. Boral L, Henry J. The type and screen: a safe alternative and supplement in selected surgical procedures. Transfusion 1977; 17(2): 163-8.
  6. Saxena S, Shulman IA. Resurgence of the blood utilization committee. Transfusion 2003; 43(8): 998-1006.
  7. Rosen N, Bates L, Herod G. Transfusion therapy: improved patient care and resource utilization. Transfusion 1993; 33(4): 341-7.
  8. WHO. Universal access to safe blood transfusion; 2008. Available from: http://www.who.int/bloodsafety/publications/UniversalAccesstoSafeBT.pdf?ua=1.
  9. Rudmann SV. Textbook of blood banking and transfusion medicine. 2nd ed. Philadelphia: Saunders; 2005. p. 379.
  10. Voak D, Napier J, Boulton F, Cann R, Finney R, Fraser I, et al. Guidelines for implementation of a maximum surgical blood order schedule. Clinical & Laboratory Haematology 1990; 12(3): 321-7.
  11. de Jongh DS, Feng C, Frank S, Wallace M. Improved utilization of blood for elective surgery. Surg Gynecol Obstet 1983; 156(3): 326-8.
  12. Mead JH, Anthony CD, Sattler M. Hemotherapy in elective surgery. An incidence report, review of the literature, and alternatives for guideline appraisal. Am J Clin Pathol 1980; 74(2): 223-7.
  13. Abasivash R, Aghdashi MM, Hassani E, Shirvani M. Incompetency of current practice of blood ordering for elective surgeries in imam khomeini and shahid motahari hospitals in urmia,during the 2nd trimester of 2007. Urmia Medical J 2010; 20(4): 302-6. [Article in Farsi]
 
  1. Khalili Alam Kh, Zare Mirzaie A, Jalilvand  A. Maximum Surgical Blood ordering (MSBOS) in Elective Surgery: Study in Firoozgar Hospital. Razi J Medical Sciences 2005; 11(44): 939-44. [Article in Farsi]
  2. Gharehbaghian A HH, Emami H, Bardeh M, Karimi Gh. Evaluation of blood utilization in Rasht. Sci J Iran Blood Transfus Organ 2010; 7(2): 101-8. [Article in Farsi]
  3. Nikpoor A, Daneshvar H, Sanei Moghaddam E, Askari M. Assessment of requisition and consumption indices of blood in educational hospitals in Kerman city. Sci J Iran Blood Transfus Organ 2013; 10(1): 12-9. [Article in Farsi]
  4. Alaoddolei H, Kashizadeh M, Sadighian F. The study of blood utilization at Yahya-nedjad Hospital in Babol. Sci J Iran Blood Transfus Organ 2008; 5(2): 133-7. [Article in Farsi]
  5. Yerrabothala S, Desrosiers KP, Szczepiorkowski ZM, Dunbar NM. Significant reduction in red blood cell transfusions in a general hospital after successful implementation of a restrictive transfusion policy supported by prospective computerized order auditing. Transfusion 2014; 54(10 Pt 2): 2640-5.
  6. Alghamdi S, Gonzalez B, Howard L, Zeichner S, LaPietra A, Rosen G, et al. Reducing blood utilization by implementation of a type-and-screen transfusion policy a single-institution experience. Am J Clin Pathol 2014; 141(6): 892-5.
  7. Zaman B, Radmehr M, Sahraian A, Sohrabi P. Determination of the ratio and causes of unused blood ordered from blood bank blood in elective surgery in Rasoul-e-Akram Hospital. Sci J Iran Blood Transfus Organ 2009; 6(2): 141-6. [Article in Farsi]
  8. Gharehbaghian A, Abolghasemi H, Namini MT. Status of blood transfusion services in Iran. Asian J Transfus Sci 2008; 2(1): 13-7.
  9. Maramazi Ghaflez B, Kaab Omeir H, Jalali Far MA, Saki N, Torabizadeh Maatoghi J, Naderpour M. Study of rate and causes of blood components discard among Ahwaz's hospital. Sci J Iran Blood Transfus Organ 2014; 11(3): 197-206. [Article in Farsi]
  10. Kumar A, Figueroa PI, Gowans KL, Parker BM, Proctor AW, Benitez-Santana SM, et al. An evolution in blood management: past, present, and future. Qual Manag Health Care 2011; 20(4): 311-21.
  11. Kumar A, Figueroa PI, Gowans KL, Parker BM, Proctor AW, Benitez-Santana SM, et al. An evolution  in  blood  management:  past,   present,   and
future. Qual Manag Health Care 2011; 20(4): 311-21. 
  1. Gombotz H, Hofman A, Rehak P, Kurz J. Patient blood management (part 2). Practice: the 3 pillars. Anasthesiol Intensivmed Notfallmed Schmerzther 2011; 46(7-8): 466-74. [Article in German]
  2. Gombotz H, Hofman A, Rehak P, Kurz J. Patient blood management (part 2). Practice: the 3 pillars. Anasthesiol Intensivmed Notfallmed Schmerzther
    2011; 46(7-8): 466-74.
  3. Society of Thoracic Surgeons Blood Conservation Guideline Task Force, Ferraris VA, Brown JR, Despotis GJ, Hammon JW, Reece TB, et al. 2011 update to the Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists blood conservation clinical practice guidelines. Ann Thorac Surg 2011; 91(3): 944-82.
 
 
 
 
 
 


 
 
Original Article
 
 
 
 
Sci J Iran Blood Transfus Organ 2017; 13(4): 259-268
 
 

The evaluation of blood crossmatches and blood
utilization at university hospitals in Tabriz
 
 
Aqmasheh S.1, Shamsasenjan K.1,2
 
 
1Hematology and Oncology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
 
Abstract
Background and Objectives
Blood consumption and request are the major challenge in the patient blood management program in hospitals at the present time. Blood request and consumption data for each part are important to estimate the amount of transfusion and blood ordering. In this study, transfusion and cross-matching status were evaluated in different wards of the two biggest hospitals in northwest of Iran.
 
Materials and Methods
In the present descriptive, retrospective study, the data of cross matching and blood transfusion were collected from hospitals of Tabriz, and the C/T ratio was calculated. Data were analyzed using descriptive statistics using SPSS software version 18.
 
Results
Of the 36210 blood units cross-matched, 19329 units had been transfused and about 46.6% were left unused. In total the C/T ratio was 1.9. The C/T ratio was the highest in the maxillofacial ward (10.4) and the lowest in ICU (1.3).
 
Conclusions
The C/T ratio is above compared with MSBOS tables in the world. Blood ordering is more than required; therefore, it is suggested that the policy be reassessed for hospital blood ordering and the patient blood management programs be implemented to reduce the transfusion ratio.
 
Key words: Transfusion, Hospitals, utilization
 
 
 
 
 
 
 
 
 
 
 
Received:  1 Jun 2016
Accepted: 9 Nov 2016
 
 
 

Correspondence: Shams Asenjan K., PhD of Hematology and Blood Banking. Assistant Professor of Hematology Oncology Research Center, Tabriz University of Medical Sciences and Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine.
P.O.Box: 51335, Tabriz , Iran. Tel: (+98411) 2871515; Fax: (+98411) 2871515
                E-mail: k.shams@ibto.ir
Type of Study: Research | Subject: Hematology
Published: 2016/12/24
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