Blood Cross-Match Ordering Practices
| Autor: | Madeeha Rehan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Journal of Rawalpindi Medical College, Vol 20, Iss 3 (2016) |
| Druh dokumentu: | article |
| ISSN: | 1683-3562 1683-3570 |
| Popis: | Background: To assess blood utilization practices by evaluating the cross-match ordering and transfusion ratio in surgical and nonsurgical patients to avoid unnecessary transfusion and wastage of blood. Methods: In this prospective study patients belonging to age of 1 year to 60 years, which were admitted in Pediatric, Medicine, Surgery, Gynae/OBS / Orthopaeds/ wards were included. Cross-matched to transfusion ratio (C/T ratio), Transfusion probability (%) and Transfusion Index (Ti) for each of these patients was performed during the study period. C/T ratio is used as a measure of the efficiency of blood ordering practice. It should ideally be between 2 and 2.5. We compared our results with the ideal. Results: Requests from 2800 patients were sent to prepare 3547 cross matched units. Of these, 2723 units were transfused. Overall C/T was 1.3, %T 76.7%,Ti 0.9. Of the total cross match requested 44.4% were requested by surgical department including Gynae/OBS, Urology, Neurosurgery, Orthopeads and General surgeries. Out of all surgical departments C/T of Gynae/OBS was 2.5% & of all other surgical departments was 1.7% &Ti o.4. C/T ratio of nonsurgical patients was 1.09. Conclusion: Overall blood utilization was encouraging, but excessive cross-matching with minimal transfusion practice was observed in Gynae/OBS patients which can be minimized by considering transfusion triggers before requesting cross-match. |
| Databáze: | Directory of Open Access Journals |
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