A Study of the Transfusion of Reserved Blood for Elective Surgeries

Hosseini , NS; Dehqani, MAi; Mahmel Za Yazdi, S; Amiri, F

Volume 24, Issue 7 (Oct 2016) JSSU 2016, 24(7): 547-554 | Back to browse issues page

Mendeley

Zotero

RefWorks

Hosseini N, Dehqani M, Mahmel Za Yazdi S, Amiri F. A Study of the Transfusion of Reserved Blood for Elective Surgeries. JSSU 2016; 24 (7) :547-554
URL: http://jssu.ssu.ac.ir/article-1-3545-en.html

A Study of the Transfusion of Reserved Blood for Elective Surgeries

NS Hosseini

, MAi Dehqani ^*

, S Mahmel Za Yazdi

, F Amiri

Abstract: (5244 Views)

Introduction: Nowadays, over-ordering of blood is a common practice in preparation for elective surgical procedures that due to the blood products shortage and and the fact that high amount of blood is not used, this problem can be solved by changing the blood ordering schedule. The aim of this study was the examination of stored blood transfusion rate in elective surgical procedures.

Materials and Methods: This present cross-sectional study was undertaken on 296 patients who were chosen by the use of non-random method underwent elective surgeries C/ S, thyroidectomy, total hysterectomy, laminectomy, open cholecystectomy, Spilenectomy, total hip and total Knee between September 2013to march 2014. Information was extracted by check list researcher and patient’s records and it was analyzed by the means of descriptive statistics and statistical software 21 SPSS.

Results: A total of 296 patients underwent chosen elective surgery during the study period. A total of 912 blood units were cross-matched of which only 115 units were transfused. This means only 12.6% of units were transfused while 87.4% of blood units were not used. Also, no significant correlation was found between the patient's age, gender and his/her blood utilization.

Conclusion: According to the findings, routine bloods reservation in chosen elective surgeries are not necessary. In order to improve the quality of ordering, the use of "maximum surgical blood ordering schedule" is suggested, by applying this, it could fit the varying demands of bloods of hospital

Keywords: Blood Transfusion, Cross-Match, Blood Reservation, Elective Surgery

Full-Text [PDF 606 kb] (1792 Downloads)

Type of Study: Original article | Subject: Oncology
Received: 2015/12/28 | Accepted: 2016/09/10 | Published: 2016/10/4

References

1. 1- Soomro R, Javed MR, Ali SA. Arrangements and use of blood in elective surgical procedures. Professional Medj 2011; 18(2): 212-4.

2. 2- Nadri S, saran S, Teimouri H, Soltani M, Anbari K. The frequency of blood transfusion and its components in hospitalized patients in Shohada Ashayer hospital in Khorramabad, 2009. Yafteh 2012; 13(4): 5-10. [Persian]

3. 3- Smallwood JA. Use of Blood in Elective General Surgery: An Area of Wasted Resources. BMJ 1983; 286(6368): 868-70.‏

4. 4- Mahadevan D, Challand C, Clarke A, Keenan J. Maximum surgical blood ordering schedules for revision lower limb arthroplasty. Archives of orthopaedic and trauma surgery 2011; 131(5): 663-7.‏

5. 5- Napier JAF, Boulton FE, Cann R, Finney RD, Faser ID, Wasters W, Wood JK. Guidelines For Implementation Of Maximum Surgical Blood Order Schedule. Clinic Lab Haemato 1990; 12(3): 321-7.

6. 6- Khalili Aalam K, Zare Mirzaie A, Jalilvand A. Maximum surgical blood ordering schedule(msbos) in elective surgery cases: an original study in Firoozgar Hospital. RJMS 2005; 11(44): 939-44. [Persian]

7. 7- Lin JS, Chen YJ, Tzeng CH, Lyou JY, Lee CH. Revisiting of preoperative blood ordering policy: a single institute's experience in Taiwan. J Chinese Med Associ 2006; 69(11): 507-11.

8. 8- Zaman B, Radmehr M, SahraeianA, Sohrabi P. Determination of the ratio and causes of unused blood ordered from blood bank blood in elective surgery in Rasoul-E-Akram Hospital 2009; 141-6.‏ [Persian]

9. 9- 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.

10. 10- Davoudi-kiakalayeh A, Faranoush M, Haghbin A, Behboudi F. Reviewing the blood ordering schedule in a tertiary trauma center. Iran J Blood Cancer 2013; 6(1): 27-31.

11. 11- Teremmahi Ardestani M, Golvardi Yazdi MS, Sobhani G, Abroushan H, Roonema R. Analyzing ordering schedule of blood and its products in Shahid Mohammadi hospital, Bandar Abbas, Iran. 2015; 19(3): 159-64.

12. 12- Mead JH, Anthony CD, Sattler M. Hemotherapy in elective surgery: An incidence report review of literature, and alternative forguideline appraisal. Am J Clin Path 1980; 1(74): 223-7

13. 13- Al-Benna S, Rajgarhia P. Blood Transfusion Requirements in Elective Breast Reconstruction Surgery. Breast 2010; 19(6): 475-8.

14. 14- Belayneh T, Messele G, Abdissa Z, Tegene B. Blood requisition and utilization practice in surgical patients at university of Gondar hospital northwest Ethiopia. J Blood Transfusion 2013; 28: 2013.

15. 15- Chawla T, Kakepoto GN, MA Khan. An audit of blood cross-match ordering practices in The Aga Khan University Hospital: first step towards a maximum surgical blood ordering schedule. J Pakistan Med Associa 2001; 51(7): 251-4.

16. 16- Thabah R, Sailo LT, Bardoloi J, Lanleila M, Lyngdoh NM, Yunus M, Bhattacharyya P. Maximum surgical blood order schedule. A newly set-up tertiary care hospital. Anaesth Pain Intensive Care 2013; 17(1): 28-32.

17. 17- Network SIG. Perioperative Blood Transfusion for elective surgery: A national clinical guideline, 2005. Available at: http://www.sign.ac.uk.