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:: Volume 18, Issue 1 (Spring 2021) ::
Sci J Iran Blood Transfus Organ 2021, 18(1): 36-43 Back to browse issues page
The effectiveness of antibody screening program in improving blood consumption in two hospitals Kosar and Chamran in Shiraz, Iran
L. Kasraian Dr. , َA. Afzal, Z. Haghighat
Keywords: Screening, Blood, Hospitals
Full-Text [PDF 287 kb]   (82 Downloads)     |   Abstract (HTML)  (417 Views)
Type of Study: Research | Subject: Blood transfusion medicine
Published: 2021/02/28
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Sci J Iran Blood Transfus Organ 2021;18 (1): 36-43
Original Article
 
 
 
 
 


The effectiveness of antibody screening program in improving blood consumption in two hospitals Kosar and Chamran in Shiraz, Iran
 
Kasraian L.1,2, Afzal A.3, Haghighat Z.4
 
 
1Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
2Shiraz Blood Transfusion Center, Shiraz, Iran
3Kosar Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
4Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
 
 
Abstract
Background and Objectives
Only 40-50% of cross-matched blood bags are used for surgeries, which leads to wastage of blood bags. We investigated the effectiveness of antibody screening in improving blood consumption during surgeries.
 
Materials and Methods
This cross-sectional study was conducted in Chamran and Kosar hospitals in1397-1398 in Shiraz. The number of requested, consumed and cross-matched blood bags and the ratio of cross-match to transfusion in two consecutive years (before and after antibody screening) in Chamran and Kowsar hospitals were compared for one month and five months. The comparison of  ratio test with  Medcalc-7 statistical software was used for analysis.
 
Results
Prior to the antibody screening program, 585 blood bags were requested, 228 crossmatched and only 84 were transfused in Chamran Hospital. After antibody screening 554 requested  blood bags, 98 and 72 bags were crossmatched and transfused, respectively. The cross match -transfusion ratio was decresed  from 2.71 to 1.36 (p< 0.001, 95% CI: 31-25-41 / 98: 95%). Prior to the antibody screening program, out of 3595 requested blood bags, 3377 and 1468 bags were cross-matched and transfused in Kowsar Hospital, respectively. After antibody screening, out of 2183 requested blood bags, 1658 and 1157 bags were crossmatched and transfused, respectively. The cross - match to transfusion ratio was decreased (2.30 to 1.43) (p< 0.001 < 24/28/29/32: 95% CI) after antibody screening.
 
Conclusions 
Initiating antibody screening rationalized blood consumption. Therefore, it seems that it should be established in all hospitals, and coordination with insurance organizations should be done to allocate the budget and provide the required kits.
 
Key words: Screening, Blood, Hospitals
 
 
Received:  24 Jun 2020
Accepted: 14 Sep 2020
 

Correspondence: Kasraian L., Community Medicine Specialist. Associate Professor of Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine and Shiraz Blood Transfusion Center.
P.O.Box: 1153, Shiraz,  Iran. Tel: (+9871) 6273445; Fax: (+9871) 6264006
E-mail:lkasraian@yahoo.com
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kasraian L, Afzal َ, Haghighat Z. The effectiveness of antibody screening program in improving blood consumption in two hospitals Kosar and Chamran in Shiraz, Iran. Sci J Iran Blood Transfus Organ. 2021; 18 (1) :36-43
URL: http://bloodjournal.ir/article-1-1361-en.html


Volume 18, Issue 1 (Spring 2021) Back to browse issues page
فصلنامه پژوهشی خون Scientific Journal of Iran Blood Transfus Organ
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