Dzieczkowski JS, Anderson KC. Transfusion biology and therapy. In: Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Jameson JL, et al. Harrison's principles of internal medicine. 16th ed. New York: McGraw Hill; 2005. p. 662-7.
Schwartz D, Kaplan KL, Schwartz SI. Haemostasis, Surgical Bleeding, and transfusion. In: Schwartz's Principles of Surgery. 8th ed. New York: McGraw Hill; 2005. p. 61-83.
Hua Shan, Roger Y. Dodd. Blood Safety: A Guide to Monitoring and Responding to Potential New Threats. USA: Springer International Publishing; 2018. p. 45-128.
Miller RD. Miller's anesthesia textbook. 7th ed. Philadephia: Churchill Livingstone; 2010. p. 1739-60.
Galanakis D, Dracker RA, Fricke W, Gomensoro-Garcia A, Rochester G, Rosales L, et al. Guidelines for transfusion of red blood cells-adults. 2nd ed. Albany, NY: New York State Council on Human Blood and Transfusion Services; 2004. p. 1-5.
Varney SJ, Guest JF. The annual cost of blood transfusions in the UK. Transfus Med 2003; 13(4): 205-18.
Gharehbaghian A, Hatami H, 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]
Nadri S, Saran S, Teimouri H, Soltani M, Anbari K. The frequency of blood transfusion and its components in hospitalized patients in Shohada
Ashayer hospital in Khorramabad, 2009. Yafteh. 2012; 13(4): 5-10. [Article in Farsi]
Belayneh T, Messele Gashaw, Abdissa Z, Tegene B. Blood Requisition and Utilization Practice in Surgical Patients at University of Gondar Hospital, Northwest Ethiopia. Journal of Blood transfusion 2013; 1- 5.
Tolyat M, Barakchi AA. Evaluation of blood utilization in Birjand Imam Reza Hospital. Sci J Iran Blood Transfus Organ 2014; 10(4): 400-40. [Article in Farsi]
MR Keramati, MH Nezafati. Multivariate predictors of blood transfusion in patients undergoing coronary artery bypass graft in Mashhad, Iran. IRCMJ 2008; 10(2): 79-83.
Kiasari A, Mirzade A, Hashemi M. The rate of blood transfusion and its components in Emam Khomeini hospital in Sari. Med Sci University Mazandaran 2008; 67: 91-5. [Article in Farsi]
Karami Sh, Purkhosravi N, Sanei Moghadam, Khosravi S. Consumption trend of blood and blood components in Zahedan teaching hospitals. Sci J Iran Blood Transfus Organ 2009; 5(4): 257-66. [Article in Farsi]
Rafat Mohebbi Far, Fatemeh Samiee Rad, Zahra Abdolazimi, Mohamad Mehdi Daneshi Kohan. Determination of Rate and Causes of Wastage of Blood and Blood Products in Iranian Hospitals. Turk J Hematol 2014; 31: 161-7.
Rezaei N, Maarefdoust Z, Amini Kafiabad S, Mehdizadeh MR, Birjandi F. Evaluation of the blood usage and wastage in Kerman hospitals. Sci J Iran Blood Transfus Organ 2013; 10(3): 213-21. [Article in Farsi]
Sci J Iran Blood Transfus Organ 2019; 16(1): 9-16
Original Article
The number of the requests for, transfusion and the wastage of blood and blood components based on the ratio of the number of cross-matched blood to transfusion (C/T) in Semnan hospitals in 1394
1Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran 2Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran
Abstract Background and Objectives
Blood components are an expensive resource. Therefore, there is a need to continuously monitor blood utilization and audit the transfusion practices to identify key areas of concern for blood usage. The aim of this study was to analyze the number of the requests for, transfusion and the wastage of blood and blood components based on the ratio of the number of cross-matched blood to transfusion (C/T) in Semnan hospitals.
Materials and Methods
In this cross sectional descriptive study, a total of 6749 order forms for blood and blood components, which have been sent to the blood banks of Semnan hospitals within September 2015 to September 2016, were evaluated. The collected data from the blood banks were analyzed using SPSS 16 Software. The mean+SD of the numerical variables and the absolute and relative frequencies of the rasteh (categorical) variable according to the subgroups under study were reported.
Results
In this study, out of 6749 blood order forms, 14296 units of blood products including red blood cells, FFP and platelet had been ordered. The total cross-match to transfusion ratios (C/T ratio) were 1.35, 1.71 and 1.41 respectively in Amir, Cowsar and Shafa Hospitals with the RBC request rates forming 24.9%, 58.8%, and 16.4% of the total requests in the same order.
Conclusions
The results show that blood consumption in Semnan hospitals is appropriate as compared with the international standards. Blood utilization model in some wards like internal, ICU and emergency were not appropriate, indicating that a more effective guideline for blood order is required.
Key words: Blood Transfusion, Hospitals, Red Blood Cells
Received: 1 Sep 2019 Accepted: 3 Mar 2019
Correspondence: Khaleghian A., PhD of Biochemistry. Assistant Professor of Faculty of Medicine, Semnan University of Medical Sciences.
P.O.Box: 3514533, Semnan, Iran. Tel: (+9823) 33441401; Fax: (+9823) 33654202
E-mail: khaleghian.ali@gmail.com
Rezaie M, Khaleghian A, Alizadeh F, Mirmohamadkhani M. The number of the requests for, transfusion and the wastage of blood and blood components basenumber of cross-matched blood to transfusion (C/T) d on the ratio of the in Semnan hospitals in 1394. Sci J Iran Blood Transfus Organ 2019; 16 (1) :9-16 URL: http://bloodjournal.ir/article-1-1237-en.html