scholarly journals Blood Transfusion Policies in Elective General Surgery: How to Optimise Cross-Match-to-Transfusion Ratios

2013 ◽  
Vol 40 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Thomas C. Hall ◽  
Clare Pattenden ◽  
Chloe Hollobone ◽  
Cristina Pollard ◽  
Ashley R. Dennison
Keyword(s):  
Blood Transfusion ◽  
General Surgery ◽  
Cross Match

scholarly journals Blood Transfusion Practice before and after Implementation of Type and Screen Protocol in Emergency Department of a University Affiliated Hospital in Iran

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Mostafa Alavi-Moghaddam ◽  
Mahmoud Bardeh ◽  
Hossein Alimohammadi ◽  
Habib Emami ◽  
Seyed-Mostafa Hosseini-Zijoud
Keyword(s):  
Emergency Department ◽  
Blood Transfusion ◽  
Transfusion Practice ◽  
Time Interval ◽  
Blood Transfusions ◽  
Common Diseases ◽  
Before And After ◽  
Transfusion Ratio ◽  
Cross Match

Background. Blood transfusion is the cornerstone of therapy for many serious and common diseases. This study was performed to assess blood transfusion practice before and after implementation of type and screen protocol in emergency department of a university affiliated hospital in Iran, 2012-2013.Methods. An audit was studied before and after the implementation of type and screen protocol. The number of blood transfusions, time interval between blood order and transfusion, cross-match to transfusion ratio (C/Tratio), and transfusion index (TI) were checked.C/Tratio was used as a measure of the efficiency of blood ordering practice. We compared our results before and after implementation of type and screen protocol.Results. In present study after implementation of type and screen protocol, the time interval between requesting blood transfusion and transfusion of blood has decreased significantly (P<0.001). The number of blood transfusions required by actual patients increased significantly from 1/2 to 2 (P<0.001). The average cross-match to transfusion (C/T) ratio got near 1.13 from 1.41 and TI got near 0.91 from 0.58 (P<0.001).Conclusion. The implementation of T&S protocol has been proven to be safe, efficient, and beneficial to the transfusion practice of our hospital from the current study.

scholarly journals Blood transfusion practices in a tertiary care hospital in Nepal

2020 ◽  
Vol 10 (2) ◽  
pp. 1728-1732
Author(s):  
Amar Narayan Shrestha ◽  
Barun Babu Aryal ◽  
Ayusha Poudel ◽  
Shraddha Poudel ◽  
Shreya Shrestha ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Tertiary Care ◽  
Transfusion Practice ◽  
Care Hospital ◽  
Good Utilization ◽  
Use Of Resources ◽  
The Cross ◽  
The Individual ◽  
Transfusion Ratio ◽  
Cross Match

Background: Blood transfusion is an integral part of patient management. Good transfusion practice guided by standard protocols is considered ideal for optimal use of resources and manpower. Cross-match requests disproportionate to the actual requirement causes overestimation of blood usage and potential wastage. This study aims to determine the crossmatch, transfusion, and utilization rates for blood using transfusion index, and cross-match to transfusion ratio in the various departments of the hospital for the evaluation of transfusion practices. Materials and Methods: A retrospective study was conducted using the records from the hospital blood bank for 12 months to obtain transfusion and cross-match records from various clinical units. Transfusion requests, units cross-matched, and completed transfusions were used to calculate the cross-match to transfusion ratio, and transfusion index for each department. Results: A total of 5156 units of blood were cross-matched for 3437 transfusion requests, out of which 3752 were transfused, giving a mean cross-match to transfusion ratio of 1.37. The non-usage of blood was 27.2% and the transfusion index stood at 1.09. The cross-match to transfusion ratio for the individual clinical units ranged from 1.75 (Surgery) to 1.14 (Medicine). Conclusions: The cross-match to transfusion ratio and transfusion index were within recommended ranges, showing good utilization and low blood wastage. The establishment of a blood ordering protocol via a multidisciplinary approach should be considered to further optimize blood transfusion practices.

scholarly journals Rational red blood cells administration - have we achieved a satisfactory level?

2020 ◽  
Vol 148 (5-6) ◽  
pp. 299-303
Author(s):  
Vojislav Lukic ◽  
Biljana Zivotic ◽  
Branislava Vasiljevic ◽  
Almira Sabani ◽  
Gradimir Bogdanovic ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Cross Sectional ◽  
Allogeneic Transfusion ◽  
Care Facilities ◽  
Almost All ◽  
Transfusion Ratio ◽  
Cross Match

Introduction. The important indicators of the quality of work in blood transfusion banks and health care facilities in general is the ratio of the cross-matched red blood cell (RBC) units, and the number of transfused RBC, known as cross-match to transfusion ratio (C:T). The objective of this research was to provide an assessment of the quality of our work in a cross-sectional study, showing C:T ratios for certain areas of surgery or particular surgical indications. Methods. We analyzed the data related to the activities of the Department for Pre-Transfusion Testing and Blood Distribution at the Blood Transfusion Institute of Serbia during the September and November of 2017 period. In total, 341 patients were included in the study, for whom 1,067 RBC units were requested. Results. In pre-transfusion testing, 562 units were cross-matched and 249 units were transfused. The overall C:T ratio was 2.25. There are variations in C:T by departments. For the departments of abdominal surgery and reanimation, where uncrossmatched RBC units were requested, C:T was < 2. Other departments had C:T > 3 for almost all therapeutic areas. Conclusion. Our results show that the C:T ratio ranged 2.02?3.6, indicating the need to reevaluate the protocols based on which the blood is requested according to individual indications, to adequately prepare patients for surgery in order to reduce the risk of possible allogeneic transfusion, and to apply Patient Blood Management protocols, which include the use of alternatives to allogeneic blood transfusion.

scholarly journals Blood transfusion practices in a tertiary care center in Northern India

2017 ◽  
Vol 9 (02) ◽  
pp. 071-075 ◽  
Author(s):  
Sonam Kumari
Keyword(s):  
Blood Transfusion ◽  
Care Center ◽  
Tertiary Care ◽  
Transfusion Practice ◽  
Northern India ◽  
Transfusion Ratio ◽  
Surgery Department ◽  
Transfusion Guidelines ◽  
Very High ◽  
Cross Match

Abstract BACKGROUND: Blood transfusion plays vital roles in the medical and surgical practice. To achieve optimum use of blood, transfusion has to be appropriate and judicious consuming minimal resources and manpower. OBJECTIVE: To evaluate the pattern of blood transfusion requests and utilization with the aim of determining transfusion practice. MATERIALS AND METHODS: Blood request forms and cross-match worksheets at the blood bank were analyzed over a 6-month period. Numbers of requisitions, blood units cross-matched, issued out, transfused, and nontransfused were calculated. Nonusage probability (NUP) and the cross-match to transfusion ratio (CTR) for each clinical unit were computed. RESULTS: Two thousand two hundred and sixty-eight units of blood were cross-matched for 1487 patient’s transfusion requests, out of which only 1455 (64.2%) were transfused giving a total CTR of 1.6 for the hospital. The CTR for the various clinical units were: Obstetrics and gynecology (O and G) 2.7, surgery 2.1, orthopedics 1.9, medicine 1.1, pediatrics 1, and oncology 1. CONCLUSIONS: The overall CTR (1.6) of the hospital was within the optimal range except for the O and G and surgery department which were having very high NUP and CTR indicating their suboptimal transfusion practices. Introducing revised transfusion guidelines, maximum surgical blood ordering schedule and type, screen, save, and abbreviated cross-match method can help toward adequate requisition and utilization of blood thereby reducing wastage of resources, time, and manpower.

scholarly journals Present Status of Emergency Blood Transfusion and System of Urgent Pretransfusion Cross-Match Tests in Kansai Medical University Hospital

1985 ◽  
Vol 37 (Supplement) ◽  
pp. S4-S13
Author(s):  
Susumu Okubo ◽  
Tomoko Ishida ◽  
Keiko Okayama ◽  
Kazuko Osada ◽  
Taeko Sudo ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Present Status ◽  
University Hospital ◽  
Medical University ◽  
Cross Match
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