Volume 17, Issue 2 (Summer 2020)                   Sci J Iran Blood Transfus Organ 2020, 17(2): 126-132 | Back to browse issues page

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Kasraian L, Mokhtari M. Maximum surgical blood ordering schedule improves blood utilization in elective surgeries :An experience in Faghihi hospital, Shiraz, Iran. Sci J Iran Blood Transfus Organ 2020; 17 (2) :126-132
URL: http://bloodjournal.ir/article-1-1328-en.html
Maximum surgical blood ordering schedule improves blood utilization in elective surgeries :An experience in Faghihi hospital, Shiraz, Iran
L. Kasraian , M. Mokhtari *
Keywords: Blood Transfusion, Surgery, Hospitals
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   References:
  1. Crispin PJ, Burgess M, Crispin TM. Transfusion demand control strategies: Potential efficacy of hospital and regional interventions. Transfus Aph Sci 2010; 43(3): 341-5.
  2. Subramanian A, Sagar S, Kumar S, Agrawal D, Albert V, Misra MC. Maximum surgical blood ordering schedule in a tertiary trauma center in northern India: A proposal. J Emerg Trauma Shock 2012; 5(4): 321-7.
  3. Basnet RB, Lamichhane D, Sharma VK. A Study of blood Requisiton and transfusion Practce in Surgery at
 
Bir Hospital. Post-Graduate Medical Journal of NAMS 2009; 9(02): 14-9.
  1. Yazdi AP, Alipour M, Jahanbakhsh SS, Gharavifard M, Gilani MT. A survey of blood request versus blood utilization at a university hospital in Iran. Arch Bone Joint Surg 2016; 4(1): 75.
  2. Ejaz A, Frank SM, Spolverato G, Mavros M, Kim Y, Pawlik TM. Variation in the use of type and crossmatch blood ordering among patients undergoing hepatic   and   pancreatic   resections.  Surgery  2016;
159(3): 908-18.
  1. Collins R, Wisniewski M, Waters J, Triulzi D, Alarcon L, Yazer M. Excessive quantities of red blood cells are issued to the operating room. Transfus Med 2015; 25(6): 374-9.
  2. Jayaranee S, Prathiba R, Vasanthi N, Lopez C. An analysis of blood utilization for elective surgery in a tertiary medical centre in Malaysia. Malaysian J Pathol 2002; 24(1): 59-66.
  3. Raghuwanshi B, Pehlajani N, Sinha MK, Tripathy S. A retrospective study of transfusion practices in a Tertiary Care Institute. Indian J Anaesth 2017; 61(1): 24-8.
  4. Friedman B, Oberman H, Chadwick A, Kingdon K. The maximum surgical blood order schedule and surgical blood use in the United States. Transfusion 1976; 16(4): 380-7.
  5. Olawumi HO, Bolaji Bo. Blood utilization in elective surgical procedures in Ilorin. Tropical Journal of Health Sciences 2006; 13(1): 15-7.
  6. Karnjanarachata C. Crossmatch to Transfusion Ratio of Blood and Risk factors Associated with Blood Transfusion in Patients Undergoing Elective Hepatic Resection: Retrospective Review. The Thai Journal of Anesthesiology 2019; 45(1): 1-6.
  7. Kasraian L, Afsar Z, Shirazi B, Torabi M. The effect of maximum surgical blood ordering on blood utilization in elective surgeries in 23 hospitals of Shiraz, Iran. Sci J Iran Blood Transfus Organ 2019; 16(3): 186-93. [Article in Farsi]
  8. Ibrahim SZ, Mamdouh HM, Ramadan AM. Blood utilization for elective surgeries at main University Hospital in Alexandria, Egypt. J Am Sci 2011; 7(6): 683-9.
  9. Alaoddolehei H, Mortazavi Y, Sedighian F. The evaluation of blood order and blood utilization at university hospitals in Babol. Sci J Iran Blood Transfus  Organ  2015; 11(1): 64-70. [Article in Farsi]
  1. Subramanian A, Rangarajan K, Kumar S, Sharma V, Farooque K, Misra MC. Reviewing the blood ordering schedule for elective orthopedic surgeries at a level one trauma care center. J Emerg Trauma Shock 2010; 3(3): 225.
  2. Boral L, Henry J. The type and screen: a safe alternative and supplement in selected surgical procedures. Transfusion 1977; 17(2): 163-8.
  3. Soleimanha M, Haghighi M, Mirbolook A, Sedighinejad A, Mardani-Kivi M, Naderi-Nabi B, et al. A survey on transfusion status in orthopedic surgery at a trauma center. Arch Bone Joint Surg 2016; 4(1): 70.
  4. Chalya PL, Mbunda F, Mabula JB, Massinde AN, Kihunrwa A, Gilyoma JM. Blood transfusion practice in surgery at Bugando Medical Centre in northwestern Tanzania. Tanzania Journal of Health Research 2016; 18(1): 1-9.
  5. Ebose EM, Osalumese IC. Blood shortage situation: An audit of red blood cells order and pattern of utilization. African Journal of Biotechnology 2009; 8(21): 5922-5.
  6. 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): 259-68. [Article in Farsi]
  7. Shander AS, Goodnough LT. Blood transfusion as a quality indicator in cardiac surgery. JAMA 2010; 304(14): 1610-1.
  8. Mahadevan D, Challand C, Clarke A, Keenan J. Maximum surgical blood ordering schedules for revision lower limb arthroplasty. Arch Orthop Trauma Surg 2011; 131(5): 663-7.
  9. Mahar FK, Moiz B, Khurshid M, Chawla T. Implementation of maximum surgical blood ordering schedule and an improvement in transfusion practices of surgeons subsequent to intervention. Indian J Hematol Blood Transfus 2013; 29(3): 129-33.
 
 
 
 
 
 
 
 
 
 
 


 
 
 
Sci J Iran Blood Transfus Organ 2020; 17 (2): 126-132
Original Article
 

 

Maximum surgical blood ordering schedule improves blood utilization in elective surgeries :An experience in Faghihi hospital, Shiraz, Iran
 
Kasraian L.1,2, Mokhtari M.3
 
 
1Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
2Shiraz Blood Transfusion Center, Shiraz, Iran
3Shahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
 
 
 
Abstract
Background and Objectives
Over-ordering of blood before operation can cause unnecessary cross matches, blood bank staff overload, blood unit wastages due to outdating, and increase hospital costs. So, we aimed to survey the efficacy of MSBOS on blood utilization in Faghihi Hospital, Shiraz, Iran.
 
Materials and Methods
This cross sectional study was conducted over a three month period in 2019 and 2020 (before and after MSBOS establishment) in Faghihi Hospital, Shiraz, Iran. The education class was held for surgeons to order blood according to MSBOS. The frequency of cross matches, transfused blood units, and the cross match to transfusion ratio were compared before and after MSBOS establishment by comparison of proportions by MedCalc software in the elective surgical ward.
 
Results
The cross match to transfusion ratio significantly decreased after MSBOS establishment (3.97 to 1.46). The transfusion index and transfusion probability increased significantly after MSBOS establishment (25.2% to 63.6%, 24.7% to 59.4%)) p < 0.001). The cross match rates also decreased (51.13%). The cross match costs also decreased from 293898528 Rials (Iranian currency) to 143626560.
 
Conclusions 
In this study, the cross match to transfusion ratio decreased significantly after MSBOS establishment which shows the effectiveness of MSBOS on rational blood use. So, the education of surgeons and emphasis on blood ordering according to MSOBS can improve blood usage.
 
Key words: Blood Transfusion, Surgery, Hospitals
 
 
 
Received:  14 Jan  2020
Accepted: 11 May 2020
 
 

Correspondence: Mokhtari M., MD, Pathologist. Associated Professor of Shahid Faghihi Hospital, Shiraz University of Medical Sciences.
Postal Code: 7134845794, Shiraz,  Iran. Tel: (+9871) 32305410; Fax: (+9871) 32305419
E-mail: maral_mokhtari@yahoo.com
Type of Study: Research | Subject: Blood transfusion medicine
Published: 2020/06/30
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