The practice of blood cross-match request and transfusion in surgical patients at Debre Markos comprehensive Specialized Hospital, Debre Markos, Ethiopia, 2021/2022. A prospective study

Misganaw, Abebaw; Demelash, Getamesay; Bayable, Samuel Debas; Aschale, Agmuas; Anilay, Amare; Gode, Yitayal; Geta, Lamesgin

doi:10.1016/j.amsu.2022.104145

Cited by 4 publications

(6 citation statements)

References 11 publications

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“…Surgeons and anesthesiologists may prefer preparing excess blood products preoperatively. The findings of this present study are consistent with those of a study conducted in Ethiopia 22 ; however, they are in contrast with those of a study conducted in Northern India 32 . These studies collected data on blood reservations during the COVID-19 outbreaks.…”

Section: Efficacy Of Blood Utilization In Non-covid Patients During T...supporting

confidence: 81%

“…Several blood conservation policies have been formulated to reduce unnecessary cross-matching of blood; such as the surgical blood ordering equation 19,20 , patient-specific blood ordering system 21 , and MSBOS 2-6,22-24 . However, MSBOS remains the most widely implemented strategy [2][3][4][5][6][22][23][24] . MSBOS was introduced in the 1970s 25,26 , and was found to reduce unnecessary cross-matching, enhance patient safety and be cost-effective 3,27 .…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of Blood Utilization in Elective Surgery for Non-COVID Patients during COVID-19 Outbreaks

Jitmun,

Chatmongkolchart

2024

J Health Sci Med Res

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Objective: This study aimed to evaluate the pattern of blood transfusion requests and utilization in non-coronavirus disease (COVID) patients having undergone elective surgeries during the COVID-19 pandemic. Material and Methods: The pattern of blood transfusion requests and utilization for elective surgical procedures in six departments of a University Hospital; between January 2020 and December 2021, were retrospectively evaluated. The cross-match-to transfusion (C/T) ratio, transfusion probability (%T), transfusion index (Ti), and maximum surgical blood order schedule (MSBOS) were calculated. Results: A total of 15,030 patients underwent elective surgery. Among the 14,426 units of blood requested, 12,776 (89%) units were cross-matched preoperatively for 5,799 (39%) patients, and an additional 1,650 (11%) units were requested for 394 (2.6%) patients intraoperatively. Among these, 4,588 (32%) units were transfused to 1,710 (11.4%) patients. The overall C/T ratio, %T, and Ti were 2.78, 29.5%, and 0.79, respectively. Blood utilization indices for each department varied substantially according to the type of surgery, with blood utilization indices being unfavorable for 68 (80%) of the 85 procedures. The MSBOS was 0 for 32 procedures. Conclusion: Over-ordering of blood units for elective surgical procedures remained common during the COVID-19 pandemic. The blood utilization indices showed substantial variations according to the type of surgical procedures. The MSBOS has been formulated to assist in future decision-making.

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Section: Efficacy Of Blood Utilization In Non-covid Patients During T...supporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Efficacy of Blood Utilization in Elective Surgery for Non-COVID Patients during COVID-19 Outbreaks

Jitmun,

Chatmongkolchart

2024

J Health Sci Med Res

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“…The CTR, first described by Zewdie et al [ 9 ], is a blood utilization index, which evaluates the efficiency of transfusion policy. The CTR is a benchmark for clinical practice that indicates significant blood usage and is expected to be 2.5 or lower [ 3 , 8 , 10 , 11 ]. It is advised that at least 33% of the cross-matched units should be transfused.…”

Section: Discussionmentioning

confidence: 99%

Blood Utilization Trends in Obstetrics and Gynecology: A Seven-Year Retrospective Study in a Teaching Hospital in Sikkim, India

Sharma,

Datta

2023

Cureus

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Introduction: Unutilized cross-matched blood due to excess cross-match requisitions results in unnecessary wastage of inventory, time, labor, and financial resources. This retrospective cross-sectional study aims to assess the blood utilization practices in obstetrics/gynecology (OB/GYN) over a period of seven years with respect to “blood utilization indices” and standard recommendations. Material and methods: Cross-match requisitions from the OB/GYN Department over a period of seven years (2012-2018) were selected and included in the study using a suitable sampling technique. Patient details were retrieved from the Hospital Information System (HIS) database. The preoperative crossmatch requisitions and blood utilization data were recorded. “Blood utilization indices” and whole blood/component utilization patterns were analyzed. Results: A total of 894 units of blood were cross-matched for 523 patients included in the study. A total of 305 of these patients were transfused with 445 units. During the initial phase of the study (2012-2014), the average cross-match-to-transfusion ratio (CTR, 6.6), transfusion probability (12.3), transfusion index (0.23), and component utilization (4%) were in marked deviation from recommended “blood utilization indices.” This was in contrast with the later phase of the study (2015-2018) wherein the average CTR (1.5), transfusion probability (69.3), transfusion index (1.3), and component utilization (91.8%) were compliant with recommended “blood utilization indices.” Conclusion: A progressive improvement in blood utilization practices was observed in the OB/GYN Department during the study period. Awareness campaigns have contributed to the implementation of rational and judicious blood transfusion practices in our center.

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“…Blood transfusions are crucial to the care and resuscitation of surgical patients in order to enhance tissue oxygenation (1) . The ordering of blood prior to surgery, particularly in elective surgery, frequently concentrates on worst-case scenarios, requiring enormous volumes of blood or overestimating expected blood loss, of which little is actually utilized (2) .…”

Section: Introductionmentioning

confidence: 99%

“…Because most developing nations do not have evidence-based guidelines for blood transfusion, ordering and administering blood relies solely on clinical expertise and arbitrary judgement (2) . Developing quality indicators that help administrative authorities of blood banks to control blood ordering strategies according to the real needs was very mandatory.…”

Section: Introductionmentioning

confidence: 99%

Cross Matching to Transfusion Ratios: Comparison between Menoufia University Surgical Departments, Egypt. Surprising Results

Zaiat¹,

Ahmedy²,

Younis³

2023

The Egyptian Journal of Hospital Medicine

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Background: Patients underwent elective surgical procedures frequently need blood before or after their surgery. To give a safety margin in the case of an unanticipated hemorrhage, more units of blood are ordered than will be needed. Significant waste of blood, reagents, and human resources arises from excessive requests with insufficient usage. Objective: The current study aimed to assess the efficiency of blood ordering and transfusion processes at the Surgical Departments of Menoufia University. Patients and methods: A retrospective study was conducted at the blood bank of Menoufia University Hospital, over a year. The cross matching (C)/transfusion ratio was calculated using the following formula: Number of units crossmatched/ Number of units transfused. Also, the Transfusion Probability (TP) formula, Transfusion Index (TI), and Cross matching/transfusion percentage were calculated. Results: cross matching was requested and done for 9458 patients admitted for doing elective surgeries, from them only 1240 patients were transfused, this indicates that only 13.1% of the total units cross matched were used and the 86.9% remained unutilized. Transfusion probability was 13.1%, the overall C/T ratio was 7.6, and the transfusion index was 0.13. Conclusion:The Surgical Departments in our hospital exhibit ineffective blood ordering procedures. To better use blood units in our hospital and to minimize this huge loss, we must strictly adhere to restrictive blood transfusion procedures and the Maximum Surgical Blood Ordering Schedule (MSBOS).

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The practice of blood cross-match request and transfusion in surgical patients at Debre Markos comprehensive Specialized Hospital, Debre Markos, Ethiopia, 2021/2022. A prospective study

Cited by 4 publications

References 11 publications

Efficacy of Blood Utilization in Elective Surgery for Non-COVID Patients during COVID-19 Outbreaks

Efficacy of Blood Utilization in Elective Surgery for Non-COVID Patients during COVID-19 Outbreaks

Blood Utilization Trends in Obstetrics and Gynecology: A Seven-Year Retrospective Study in a Teaching Hospital in Sikkim, India

Cross Matching to Transfusion Ratios: Comparison between Menoufia University Surgical Departments, Egypt. Surprising Results

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