Scientific Articles
Blood use in elective surgical procedures in a “type A” base hospital
Authors:
W. W. P. Fernando ,
Base Hospital Puttalam, LK
About W. W. P.
Ministry of health
B. M. G. M. Adikarama,
District General Hospital Chilaw, LK
W. D. S. Navod
Base Hospital Puttalam, LK
Abstract
Introduction
Blood orders for surgical patients make up a considerable portion of total blood requests but the majority doesn’t lead to a transfusion. Routine crossmatching and reserving blood for all surgeries can be reduced by establishing a Maximum Surgical Blood Ordering Schedule [MSBOS]. We have analyzed blood utilization in Base Hospital Puttalam and formulated an MSBOS with this study.
Material and methods
A total of 2145 surgeries from surgical and gynaecology & obstetric units in the year 2019 was analyzed. Patients who underwent massive transfusions and patients having a pre-operative haemoglobin concentration less than 8.3g/dl or obtained a pre-operative transfusion were excluded considering transfusions to correct preoperative anaemia. The crossmatch to transfusion ratio [C: T], transfusion probability [T%] and transfusion index [TI] was calculated for each surgical procedure. The procedures having a C: T of >3:1 was recommended for group and screen [G&S].
Results
Of a total of 2145 patients, 90% were females. A total of 1565 units were requested and 1521 units were crossmatched for 2034 patients while only 193 were transfused.
Overall indices for the study population are CT ratio of 7.8:1, %T of 10.4% and TI of 0.15. Indices for surgical unit patients are CT ratio of 5:1, %T of 15.2% and TI of 0.29. By using the MSBOS total of 1403 cross matches could have been avoided.
Conclusions
By implementing the MSBOS 92% of cross matches for elective surgeries could have been avoided. The results are on par with the previous studies done at tertiary health care centres.
How to Cite:
Fernando WWP, Adikarama BMGM, Navod WDS. Blood use in elective surgical procedures in a “type A” base hospital. Sri Lanka Journal of Surgery. 2022;40(1):07–9. DOI: http://doi.org/10.4038/sljs.v40i1.8925
Published on
31 Mar 2022.
Peer Reviewed
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