Monitoring the frequency of request and transfusion of blood products in Razi Hospital, the North of Iran
DOI:
https://doi.org/10.61882/jcbior.4.4.243Keywords:
Blood, Blood products, Blood transfusion, Maximum surgical blood , Ordering scheduleAbstract
Efficient management of blood inventory, coupled with understanding request and transfusion patterns, is crucial for healthcare institutions to optimize their resources and provide timely and effective patient care. Surgical procedures often lead to significant wastage of blood products. This study aimed to identify the ratio of blood product requests and transfusion, focusing on implementing the maximum surgical blood ordering schedule (MSBOS). This cross-sectional study from 2020 to 2021 conducted at Razi Hospital, Rasht, Iran. Demographical data, clinical characteristics, type and numbers of requested and transfused blood products of the patients were recorded, and the cross-matched to transfusion (C/T) ratio was calculated for all requests. According to our results, about 54.7% of the patients were males, and out of 34873 requests for blood products (14334 in 2020 and 20539 in 2021), 28729 were transfused (11262 in 2020 and 17467 in 2021). Oncology unit (C/T=3.4) in 2020 and the kidney transplantation unit in 2021 (C/T=3.14) had the most higher C/T among different hospital units, and the packed cells were the most frequent request and transfused blood products. To address the blood wastage physicians must be educated on the proper request for blood products according to the MSBOS table.
References
1. Beal R. The Clinical Use of Blood in Medicine, Obstetrics, Paediatrics, Surgery & Anaesthesia, Trauma & Burns. Transfusion. 2003;43(12):1769–70. DOI: 10.1046/j.0041- 1132.2003.00605.x
2. Thomson A, Farmer S, Hofmann A, Isbister J, Shander A. Patient blood management - a new paradigm for transfusion medicine? ISBT Sci Ser. 2009;4(n2):423–35. DOI: 10.1111/j.1751- 2824.2009.01251.x PMID: 32328164
3. Harris JC CK. Blood Product Safety. In StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. URL: https://www.ncbi.nlm.nih.gov/books/NBK539826/
4. Hashemi SM, Soleimanzadeh Mousavi SH, Tavakolikia Z. Determining Model for Maximum Blood Request(MSBOS) for Surgery: An Elective Surgery in Imam Ali Hospital, Zahedan, Iran. Int J Hematol stem cell Res. 2019;13(2):95–101. DOI: 10.18502/ijhoscr.v13i2.694
5. Tanacan A, Fadiloglu E, Unal C, Beksac MS. Importance of shock index in the evaluation of postpartum hemorrhage cases that necessitate blood transfusion. Women Health. 2020;60(9):1070–8. DOI: 10.1080/03630242.2020.1802638 PMID: 32757719
6. Kurup R, Anderson A, Boston C, Burns L, George M, Frank M. A study on blood product usage and wastage at the public hospital, Guyana. BMC Res Notes. 2016;9(1):1–6. DOI: 10.1186/s13104-016-2112-5 PMID: 27297566
7. Pearce G. Maximum Surgical Blood Ordering Schedules (MSBOSs) and their use across the West Midlands. Metrop Plan Britain A Comp Study. 2014;78–96. DOI: 10.1046/j.1537- 2995.1976.16476247063.x PMID: 951737
8. Hayse S. Maximum Surgical Blood Ordering Schedule (MSBOS)- HSE.ie. 2021; URL: https://www.hse.ie/eng/services/list/3/acutehospitals/hospitals/waterford/laboratoryservices/msbos.html
9. Guzman JPS, Resurreccion LL, Gepte MBP. Use of maximum surgical order schedule (MSBOS) among pediatric patients to optimize blood utilization. Ann Pediatr Surg. 2019;15(1):1–5. DOI: 10.1186/s43159-019-0005-9
10. 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 an Off J Indian Soc Hematol Blood Transfus. 2013;29(3):129–33. DOI: 10.1007/s12288-012-0169-4 PMID: 24426357
11. Gholami M, Miladi S, Riahi L, Keshtvarz Hesam Abadi AM, Haghpanah S. Strategies for improvement of blood consumption management in the operating rooms: experts' suggestions. J community Hosp Intern Med Perspect. 2021;11(5):635–8. DOI: 10.1080/20009666.2021.1955449 PMID: 34567454
12. Zewdie K, Genetu A, Mekonnen Y, Worku T, Sahlu A, Gulilalt D. Efficiency of blood utilization in elective surgical patients. BMC Health Serv Res. 2019;19(1):804. DOI: 10.1186/s12913- 019-4584-1 PMID: 31694644
13. Frank SM, Oleyar MJ, Ness PM, Tobian AAR. Reducing unnecessary preoperative blood orders and costs by implementing an updated institution-specific maximum surgical blood order schedule and a remote electronic blood release system. Anesthesiology. 2014;121(3):501–9. DOI: 10.1097/ALN.0000000000000338 PMID: 24932853
14. Rezaie M, Khaleghian A. Blood and blood product utilization and causes of wastage in Semnan hospitals. J Maz Univ Med Sci. 2016;26:247–8. URL: https://jmums.mazums.ac.ir/article-1- 7692-fa.html
15. Kouchek M, Miri MM, Sistanizad M, Zangi M, Goharani R. An appraisal of blood transfusion practices in the intensive care units of Imam Hossein hospital in comparison with international strategies during. J Mil Med. 2016;18(3):271–9. URL: http://bloodjournal.ir/article-1-1353-en.html
16. Najafzadeh M, Zardast M, Assari F, Anani Sarab G, Sajjadi SM. The use of blood and blood products in Vali-e Asr Educational Hospital (Birjand, Iran). Sci J Iran Blood Transfus Organ. 2018;15(1):21–7. URL: http://bloodjournal.ir/article-1-1152- en.html
17. Dunbar NM, Olson NJ, Szczepiorkowski ZM, Martin ED, Tysarcyk RM, Triulzi DJ, et al. Blood component transfusion and wastage rates in the setting of massive transfusion in three regional trauma centers. Transfusion. 2017;57(1):45–52. DOI: 10.1111/trf.13880 PMID: 27774614
18. Raghuwanshi B, Pehlajani NK, Sinha MK, Tripathy S. A retrospective study of transfusion practices in a Tertiary Care Institute. Indian J Anaesth. 2017;61(1):24. DOI: 10.4103/0019- 5049.198395 PMID: 28216700
Downloads
Published
Issue
Section
License
Copyright (c) 2023 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
