Title: An Audit of Pattern of Transfusion in Tertiary Care Hospital
Authors: Dr Vijay Kapse, Dr Shruti Shrivastava, Dr Renuka Gahine, Dr Mukesh Kumar Bharti
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.70
Abstract
Background: Blood Transfusion Services is the important part of modern healthcare system without which efficient medical care is not possible. Every hospital/blood transfusion centre is expected to develop a system of audit that is appropriate to its needs. Aim of our study is to formulate some action plan to improve blood transfusion services and also change clinicians approach regarding appropriate transfusion and to determine pattern of transfusion and utilization trends.
Materials and Method: 6 months (April 2017 to September 2017) retrospective audit of all processed blood requisition forms were evaluated for indications, hematological values and number of requisitions received from different specialities done in Model Blood Bank associated with Dr. BRAM Hospital and Pt. J.N.M. Medical College Raipur (C.G.) All collected data were evaluated to know utilization trends and appropriateness of the indication.
Results: Total 18699 units of blood components (RCC+ WB+ FFP+ Platelets) were cross matched and out of them 14681 (74%) units were transfused. Overall C/T ratio is 1.27:1. RCC & WB- Maximum demands of 3013 (21.5%) units of RCC/WB received from department of Obstetrics & gynecology and most common indication was for surgery of obstetric cases followed by department of Surgery (n=2331= 16.6%) and most common indication for surgical procedure for different indications.
Conclusion: A review of the pattern of blood and components utilization can be of help to determine probability of transfusion and to formulate guidelines for usage
Keywords: audit in blood bank, Pattern of transfusion, C/T ratio of RCC/WB, FFP, Platelets, indications of transfusion of blood components, transfusion probability, transfusion index, utilization of blood components.
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