Blood Components Management: An Analysis on the Blood Transfusion Medicine in Zabol, Sistan and Baluchistan Province of Iran

Introduction: Blood components are commonly used during surgical operations; however, limited sources are globally available in this regard. The present study aimed to assess blood product usage and wastage in Amir-Almomenin hospital, Zabol, Iran. Methods: A total of3883 ordered blood components we...

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Main Authors: Omolbanin Sargazi-Aval, Ali Bazi, Hojat Shahraki, Ahmad Ali Jalali nezhad, Hanieh Bakhshi, Fatemeh Mirasghari, Ahmad Sohrabi, Leila Jafari
Format: Article
Language:English
Published: Zabol University of Medical sciences 2019-03-01
Series:International Journal of Basic Science in Medicine
Subjects:
Online Access:http://ijbsm.zbmu.ac.ir/PDF/ijbsm-13309
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author Omolbanin Sargazi-Aval
Ali Bazi
Hojat Shahraki
Ahmad Ali Jalali nezhad
Hanieh Bakhshi
Fatemeh Mirasghari
Ahmad Sohrabi
Leila Jafari
author_facet Omolbanin Sargazi-Aval
Ali Bazi
Hojat Shahraki
Ahmad Ali Jalali nezhad
Hanieh Bakhshi
Fatemeh Mirasghari
Ahmad Sohrabi
Leila Jafari
author_sort Omolbanin Sargazi-Aval
collection DOAJ
description Introduction: Blood components are commonly used during surgical operations; however, limited sources are globally available in this regard. The present study aimed to assess blood product usage and wastage in Amir-Almomenin hospital, Zabol, Iran. Methods: A total of3883 ordered blood components were retrospectively analyzed in AmirAlmomenin hospital, Zabol, Iran (January) 2017-(July)2018. The data were analyzed using the SPSS software, version 18. Results: The results demonstrated that the most frequent ordered blood products included packed red blood cells (PRBCs, 2097 units, 54%), followed by fresh frozen plasma (823 units, 21.2%), platelet concentrates (757 units, 19.5%), and cryoprecipitate (206 units, 5.2%), respectively. Intensive care unit department had the highest records of orders (34.2%) and the ratio of crossmatched blood to transfused blood (C/T) was 1.73. In addition, based on the results, the total amount of component wastage was 2.03% with the highest and lowest percentage for PRBCs (59.6%) and cryoprecipitate (4.35%), respectively. The highest rate of wastage was related to the delivery ward (8.23%). There was no return from pediatrics, dialysis, pediatric critical care unit, critical care unit, and gastroenterology wards. Further, a significant difference was observed between the returned rates of D-positive and D-negative blood components with higher rates belonging to D-negative products (P=0.001). Conclusion: In general, due to the 2.03% wastage rate, there is an indispensable need regarding implementing sufficient supervision and assigning vigilant policies on the hospital-based transfusion policies in order to optimize the blood product management.
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spelling doaj.art-3698a5d637294875879c34dff6504ba92022-12-22T01:43:11ZengZabol University of Medical sciencesInternational Journal of Basic Science in Medicine2476-664X2019-03-0141283310.15171/ijbsm.2019.06ijbsm-13309Blood Components Management: An Analysis on the Blood Transfusion Medicine in Zabol, Sistan and Baluchistan Province of IranOmolbanin Sargazi-Aval0Ali Bazi1Hojat Shahraki2Ahmad Ali Jalali nezhad3Hanieh Bakhshi4Fatemeh Mirasghari5Ahmad Sohrabi6Leila Jafari7Faculty of Allied Medical Sciences, Zabol University of Medical Sciences, Zabol, IranFaculty of Allied Medical Sciences, Zabol University of Medical Sciences, Zabol, IranCellular and Molecular Research Center, School of Allied Medicine, Zahedan University of Medical Sciences, Zahedan, IranDepartment of Physiology, Faculty of Medicine, Zabol University of Medical Sciences, Zabol, IranStudent Research Committee, Zabol University of Medical Sciences, Zabol, IranStudent Research Committee, Zabol University of Medical Sciences, Zabol, IranNeonatal and Children’s Health Research Center, Golestan University of Medical Sciences, Gorgan, IranDepartment of Hematology and Blood Transfusion, School of Allied Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranIntroduction: Blood components are commonly used during surgical operations; however, limited sources are globally available in this regard. The present study aimed to assess blood product usage and wastage in Amir-Almomenin hospital, Zabol, Iran. Methods: A total of3883 ordered blood components were retrospectively analyzed in AmirAlmomenin hospital, Zabol, Iran (January) 2017-(July)2018. The data were analyzed using the SPSS software, version 18. Results: The results demonstrated that the most frequent ordered blood products included packed red blood cells (PRBCs, 2097 units, 54%), followed by fresh frozen plasma (823 units, 21.2%), platelet concentrates (757 units, 19.5%), and cryoprecipitate (206 units, 5.2%), respectively. Intensive care unit department had the highest records of orders (34.2%) and the ratio of crossmatched blood to transfused blood (C/T) was 1.73. In addition, based on the results, the total amount of component wastage was 2.03% with the highest and lowest percentage for PRBCs (59.6%) and cryoprecipitate (4.35%), respectively. The highest rate of wastage was related to the delivery ward (8.23%). There was no return from pediatrics, dialysis, pediatric critical care unit, critical care unit, and gastroenterology wards. Further, a significant difference was observed between the returned rates of D-positive and D-negative blood components with higher rates belonging to D-negative products (P=0.001). Conclusion: In general, due to the 2.03% wastage rate, there is an indispensable need regarding implementing sufficient supervision and assigning vigilant policies on the hospital-based transfusion policies in order to optimize the blood product management.http://ijbsm.zbmu.ac.ir/PDF/ijbsm-13309Blood componentsBlood usageSurgery operationBlood wastage
spellingShingle Omolbanin Sargazi-Aval
Ali Bazi
Hojat Shahraki
Ahmad Ali Jalali nezhad
Hanieh Bakhshi
Fatemeh Mirasghari
Ahmad Sohrabi
Leila Jafari
Blood Components Management: An Analysis on the Blood Transfusion Medicine in Zabol, Sistan and Baluchistan Province of Iran
International Journal of Basic Science in Medicine
Blood components
Blood usage
Surgery operation
Blood wastage
title Blood Components Management: An Analysis on the Blood Transfusion Medicine in Zabol, Sistan and Baluchistan Province of Iran
title_full Blood Components Management: An Analysis on the Blood Transfusion Medicine in Zabol, Sistan and Baluchistan Province of Iran
title_fullStr Blood Components Management: An Analysis on the Blood Transfusion Medicine in Zabol, Sistan and Baluchistan Province of Iran
title_full_unstemmed Blood Components Management: An Analysis on the Blood Transfusion Medicine in Zabol, Sistan and Baluchistan Province of Iran
title_short Blood Components Management: An Analysis on the Blood Transfusion Medicine in Zabol, Sistan and Baluchistan Province of Iran
title_sort blood components management an analysis on the blood transfusion medicine in zabol sistan and baluchistan province of iran
topic Blood components
Blood usage
Surgery operation
Blood wastage
url http://ijbsm.zbmu.ac.ir/PDF/ijbsm-13309
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