Pattern of blood requisition and utilization in a tertiary care hospital: a chart review study

Abstract

Background: There is a tendency to order more units of blood than what are actually needed. As blood being finite and recognition of a high rate of inappropriate use, there is a need to monitor and regulate it. It can be done by the analysis of blood requisitions. This study was done to analyze the pattern of blood requisition and utilization in a tertiary care hospital considering the lack of such studies conducted.Methods: A chart review was conducted during April to May, 2020 to analyse 5601 blood requisitions made during April 2019 to March 2020 in the Department of Transfusion Medicine, RIMS Imphal. Data abstraction form was used to abstract data and it was analyzed in IBM Statistical package for social sciences (SPSS) version 21.Results: Out of total 5601 blood requisitions, 52.8% were made for female. Nearly one-fifth (18.4%) of the requisitions were for 50-59 years. Of the blood group, A+ (33.4%) was the commonest. Nearly one-third (32.4%) of blood units requested were from the Medicine Department. Anemia (71.6%) was the most common indication. Out of total 5601 requisitions, 4727 (84.4%) were made for packed RBC, 258 (4.6%) for FFP, 232 (4.1%) for platelets and 44 (0.8%) for whole blood. Majority (14.1%) of requisitions were made during the month of July. Replacement was the commonest mode of issue of blood.Conclusions: Predominant blood requisitions were made for A+ blood group. PRBC constitute majority of the blood requisition. Majority of the requisitions were made from medicine department.