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Sci J Iran Blood Transfus Organ 2014; 10(4): 400-405
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Evaluation of blood utilization in Birjand Imam
Reza Hospital
Tolyat M.1, Barakchi A.A.1
1Birjand University of Medical Sciences, Birjand, Iran
Abstract
Background and Objectives
Clinical use of blood components seems to be inappropriate in Iran. The application of excessive blood in elective surgeries is the common problem leading to escalating costs and increased workload in blood banks. The aim of this study was to evaluate blood utilization patterns in Birjand Imam Reza Hospital.
Materials and Methods
This was a cross-sectional descriptive study done on hospitalized patients. In this study, the amount of blood required for storage, the number of cross-matched units, and the number of transfusion units were evaluated. The data were analyzed by SPSS software. Then, crossmatch/transfusion ratio(C/T) and transfusion probability (T%) for all patients and wards were calculated and compared.
Results
The mean age of patients was 23.4 ± 40.3. In this study, 857 patients were evaluated. The total cross-match to transfusion ratio (C/T ratio) in our study was 4.2 and transfusion probability (T%) was 20.
Conclusions
In this study, the blood utilization model in ICU and burn wards was evaluated to be appropriate. But the high total C/T ratio 4.2 and very low utilization percentage of cross-matched units (only 23.4%) showed that the change in blood ordering pattern in this hospital is necessary.
Key words: Blood Transfusion,
Crossmatching٬ Blood, Patients
Received: 19 Sep 2012
Accepted: 26 Feb 2013
Correspondence: Tolyat M., MSc of Nursing. Instructor of Birjand University of Medical Sciences.
P.O.Box: 379-97175, Birjand, Iran. Tel: (+98561) 8825450; Fax: (+98561) 4430076
E-mail:
tolyatm@yahoo.com