Pattern of blood transfusion request and utilization at a Nigerian University Teaching Hospital

Musa, A.A.; Ndakotsu, MA; Hassan, Abdulaziz; Kilishi, Ayatollah; Kwaifa, Ibrahim K

doi:10.4103/1118-8561.129149

Cited by 26 publications

(30 citation statements)

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“…In order to attain good outcomes, blood transfusions have to be done cautiously and appropriately because of the associated adverse effects. The availability of adequate and safe blood has been a major challenge in developing countries due to poor facilities for storage, inappropriate blood ordering and blood component preparation [12]. In sub-Saharan Africa, inadequate blood transfusion contributes to 26% of maternal hemorrhagic deaths and globally up to 150,000 pregnant women die due to lack of access to safe blood [13].…”

Section: Introductionmentioning

confidence: 99%

Obstetric Emergencies and Transfusion Needs in a Nigerian Hospital

Ts¹,

Bello²

2016

HTIJ

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IBlood transfusion plays a significant role as a life-saving practice in emergency obstetrics and it is one of the essential components of comprehensive emergency obstetric care yielding a reduction in maternal mortality. While transfusion is commonly used to combat anaemia in obstetric practice, the majority of patients receiving transfusion are given to otherwise healthy women in response to undiagnosed obstetric hemorrhage. This study explores the need and blood transfusion rate among obstetrics patients at the University College Hospital (UCH), Ibadan to provide insight into the rationale behind such practices. This is a retrospective study of transfused obstetrics patients at UCH between the year 2009 and 2014. Information was extracted from their medical records using a pro-forma. Data were entered and analysed using SPSS version 20.Of the 21,208 births and 27,019 antenatal admissions during the study period, 597 patients were transfused and 565 medical records were analysed. Among these 565 patients, about two-thirds 412 (72.9%) were un-booked patients. The transfusion rate was 2.2% and the commonest associated obstetrics complication requiring transfusion was anaemia (65.5%) while 184 (32.6%) were transfused because of postpartum hemorrhage. Other indications for transfusion were abruptio placentae, malaria and placenta previa. Patients who delivered via Caesarean Section (CS) had the highest transfusion rate of 62.4% and the estimated blood loss during delivery was significantly higher among the unbooked patients (P<0.01). More than two-thirds, 466 (82.5%) received whole blood while only 2 (0.4%) received cryoprecipitate. About one-third of patients received single unit-transfusions.Though the overall obstetric transfusion rate was lower than that of comparable facilities, the transfusion rate among patients receiving CS was markedly high. Additionally, the majority of transfused obstetric patients had complications resulting in anaemia, while hemorrhage propagated the second highest number of cases requiring transfusion.

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Section: Introductionmentioning

confidence: 99%

Obstetric Emergencies and Transfusion Needs in a Nigerian Hospital

Ts¹,

Bello²

2016

HTIJ

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“…8, [11][12][13][14] The CTR of the departments in our study varied from 2.39 to 9.35 revealing that there is excess requisition of blood units without utilization of the same as reported by various authors. 8,12,13,15 The explanation for the high CTR is individual expectation and expertise of predicting blood loss rather than guidelines based requirement for management of the disease.…”

Section: 910mentioning

confidence: 57%

A Prospective Study on Blood Requisition and Utilization Practice in a Tertiary Care Teaching Hospital

Umesh¹

2017

jmscr

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“…A list of patients and procedures was obtained from operating theatre records. C/T ratio, T %, T i and overall NUP were calculated for all procedures performed more than five times over the study period (Friedman et al, ; Mead et al, ; British Committee for Standards in Haematology, 1990; Musa et al, ). Request form information and data on red cell units cross‐ matched and issued and time between issuance and return of unused units were retrieved from blood bank records.…”

Section: Methodsmentioning

confidence: 99%

“…A value of 0·5 or more indicates high use of cross‐matched blood, efficiency and a requirement of GXM for the procedure (Friedman et al, ). Non‐use probability (NUP) is the total units not transfused/total units requested (Musa et al, ). Although an established benchmark for this parameter has not been determined, high NUP often accompanies C/T ratios, T % and T i that indicate inefficient blood usage (Hall et al, ; Musa et al, ; Collins et al, ).…”

Section: Pattern Of Blood Donation In Trinidad and Tobago (Tto)mentioning

confidence: 99%

“…Non‐use probability (NUP) is the total units not transfused/total units requested (Musa et al, ). Although an established benchmark for this parameter has not been determined, high NUP often accompanies C/T ratios, T % and T i that indicate inefficient blood usage (Hall et al, ; Musa et al, ; Collins et al, ). NUP decreases as blood‐ordering practice improves (Vibhute et al, ).…”

Section: Pattern Of Blood Donation In Trinidad and Tobago (Tto)mentioning

confidence: 99%

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