UTILISATION OF BLOOD AND BLOOD COMPONENTS IN A TERTIARY CARE HOSPITAL
Main Article Content
Keywords
blood components, utilization, transfusion, blood bank.
Abstract
INTRODUCTION- Blood is the most precious and unique gift that one human being can give to another human being . An essential part of both emergency care and inpatient management of patients in a hospital is blood transfusion. Providing a timely, adequate, and safe supply of blood and blood products is the main duty of blood transfusion services. Setting and following standards for blood transfusion requirements is essential. Therefore, it is essential to carry out these studies in order to monitor and enhance transfusion practices, as well as to identify improvement initiatives.
Materials and methods-The present study was a retrospective record based cross sectional study . The data was collected from January 2023 to June 2023 from the issue registers of blood center of RCSM GMC ,CPR HOSPITAL KOLHAPUR and transfusion registers in wards. The data was analised for utilization rate and blood utilisation quality indicators as well as for transfusion probability and transfusion index .
RESULTS-Total 4798 units were cross matched for 4554 patients and 4636 units were transfused to 4482 patients .Overall utilisation rate was 96.1 %. Department wise utilisation rates were medicine 99.1% , surgery and orthopaedics 92.5% ,gynaecology and obstretrics 97.8% , paediatrics 96.9%. The overall quality indicators of blood utilisation were CTR (crossmatch/transfusion ratio) of 1.01, %T (transfusion probability ) of 98.4% and TI ( Transfusion index) of 1.03.
CONCLUSION –Blood transfusion quality indicators demonstrated efficient blood utilisation. Periodic review and audit of blood usage is essential to assess the blood utilisation pattern in any hospital.
Materials and methods-The present study was a retrospective record based cross sectional study . The data was collected from January 2023 to June 2023 from the issue registers of blood center of RCSM GMC ,CPR HOSPITAL KOLHAPUR and transfusion registers in wards. The data was analised for utilization rate and blood utilisation quality indicators as well as for transfusion probability and transfusion index .
RESULTS-Total 4798 units were cross matched for 4554 patients and 4636 units were transfused to 4482 patients .Overall utilisation rate was 96.1 %. Department wise utilisation rates were medicine 99.1% , surgery and orthopaedics 92.5% ,gynaecology and obstretrics 97.8% , paediatrics 96.9%. The overall quality indicators of blood utilisation were CTR (crossmatch/transfusion ratio) of 1.01, %T (transfusion probability ) of 98.4% and TI ( Transfusion index) of 1.03.
CONCLUSION –Blood transfusion quality indicators demonstrated efficient blood utilisation. Periodic review and audit of blood usage is essential to assess the blood utilisation pattern in any hospital.
References
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6. Belayneh T, Messele G, Abdissa Z, Tegene B. Blood requisition and utilisation practice in surgical patients at university of Gondar hospital, northwest Ethiopia. J Blood Transfus. 2013;2013:758910.
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8. Joshi AR, Ajmera RJ, Kulkarni AS, Bindu RS, Kulkarni SS. Observational study in utilisation of blood and blood products at tretiary care centre. Int J Health Sci Res. 2014;4(8):38-47.
9. Gaur D, Negi G, Chauhan N, Kusum A, Khan S, Pathak V. Utilisation of blood and components in a tertiary care hospital. Indian Journal of Hematology and Blood Transfusion. 2009;25(3):91-95
10. Giriyan SS, Chethana HD, Sindhushree N, Agarwal A, Nirala NK, Bajpai R. Study of utilisation of blood and blood components in a tertiary care hospital. Journal of Blood & Lymph. 2017;07(02):01-03
11. Biman Mondal, MD samsuzzaman , Sulagna Das , Dilip kumar das . A study on utilisation of blood and blood components in a tertiary care hospital in west Bengal, India .Journal of clinical and diagnostic research 16(03).2022;doi10.7860/JCDR/2022/52356.16129
12. Mead JH, Anthony CD, Sattler M. Haemotherapy in elective surgery: An incidence report, review of literature and alternatives for guideline appraisal. Am J Clin Path. 1980;74:223-27.
13. Subramanian A, Sagar S, Kumar S, Agrawal D, Albert V, Misra MC. Maximum surgical blood ordering schedule in a tertiary trauma center in Northern India: A proposal. J Emerg Trauma Shock. 2012;5:321-27.
14. Bashawri LA. Pattern of blood procurement, ordering and utilisation in a University Hospital in Eastern Saudi Arabia. Saudi Med J. 2002;23:555-61.
15. Ebose EM, Osalumese IC. Blood shortage situation: An audit of red blood cell order and pattern of utilisation. Afr J Biotechnol. 2009;8:5922-25.
16. Murphy MF, Wallington TB, Kelsey P, Boulton F, Bruce M, Cohen H, et al. Guidelines for the clinical use of red cell transfusions. Br J Haematol. 2001;113:24-31.
17. Sowayan SA. Use of blood in elective surgery: An area of wasted hospital resource. Ann Saudi Med. 1994;14:326-28
2. Rubin RJ, Ness PM. What price progress? An update on vinyl plastic bags. Transfus. 1989;29(4):358–61
3. Mathew AS, Kurian SS, Sundaresan NP, Jayalekshmi, Roderigues FP. Pattern of blood component utilization in a teaching hospital in South Kerala. Acad Med J India. 2014;2:28–31
4. Varghese R, Gomathi G. Audit of use of blood and its components in a tertiary care center in South India. Asian J Transfus Sci. 2012;6(2):189–90
5. Final estimation report of blood requirement in India-National AIDS Control Organisation. (2018). Retrieved July 20, 2020; from http://www.naco.gov.in/ sites/ default/files/ Final estimation report of blood requirement in India _0.pdf.
6. Belayneh T, Messele G, Abdissa Z, Tegene B. Blood requisition and utilisation practice in surgical patients at university of Gondar hospital, northwest Ethiopia. J Blood Transfus. 2013;2013:758910.
7. Ishore K , Nandy P , Mukherjee T. Pattern of utilization and indications of use of blood and blood products in a tertiary care hospital of west Bengal . J Compr Health. 2024;12:56-9.doi : 10.25259/JCH_8_2023.
8. Joshi AR, Ajmera RJ, Kulkarni AS, Bindu RS, Kulkarni SS. Observational study in utilisation of blood and blood products at tretiary care centre. Int J Health Sci Res. 2014;4(8):38-47.
9. Gaur D, Negi G, Chauhan N, Kusum A, Khan S, Pathak V. Utilisation of blood and components in a tertiary care hospital. Indian Journal of Hematology and Blood Transfusion. 2009;25(3):91-95
10. Giriyan SS, Chethana HD, Sindhushree N, Agarwal A, Nirala NK, Bajpai R. Study of utilisation of blood and blood components in a tertiary care hospital. Journal of Blood & Lymph. 2017;07(02):01-03
11. Biman Mondal, MD samsuzzaman , Sulagna Das , Dilip kumar das . A study on utilisation of blood and blood components in a tertiary care hospital in west Bengal, India .Journal of clinical and diagnostic research 16(03).2022;doi10.7860/JCDR/2022/52356.16129
12. Mead JH, Anthony CD, Sattler M. Haemotherapy in elective surgery: An incidence report, review of literature and alternatives for guideline appraisal. Am J Clin Path. 1980;74:223-27.
13. Subramanian A, Sagar S, Kumar S, Agrawal D, Albert V, Misra MC. Maximum surgical blood ordering schedule in a tertiary trauma center in Northern India: A proposal. J Emerg Trauma Shock. 2012;5:321-27.
14. Bashawri LA. Pattern of blood procurement, ordering and utilisation in a University Hospital in Eastern Saudi Arabia. Saudi Med J. 2002;23:555-61.
15. Ebose EM, Osalumese IC. Blood shortage situation: An audit of red blood cell order and pattern of utilisation. Afr J Biotechnol. 2009;8:5922-25.
16. Murphy MF, Wallington TB, Kelsey P, Boulton F, Bruce M, Cohen H, et al. Guidelines for the clinical use of red cell transfusions. Br J Haematol. 2001;113:24-31.
17. Sowayan SA. Use of blood in elective surgery: An area of wasted hospital resource. Ann Saudi Med. 1994;14:326-28
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Published
Feb 27, 2025
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Dr. Ashwini Morale, Dr. Aparna Kulkarni, Dr Sonali Ghodake, Dr. Ravindra Ramteke, Dr Jidnyasa Mankar, & Dr Harsha Godaria. (2025). UTILISATION OF BLOOD AND BLOOD COMPONENTS IN A TERTIARY CARE HOSPITAL. Journal of Population Therapeutics and Clinical Pharmacology, 32(2), 923-928. https://doi.org/10.53555/65kyas25
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Author Biographies
Dr. Ashwini Morale
Assistant Professor, Department of Pathology, Rajarshee Chattrapati Shahu Maharaj Government Medical College and Chhatrapati Pramilatai Raje Hospital, Kolhapur, Maharashtra.
Dr. Aparna Kulkarni
Associate Professor, Department of Pathology, Rajarshee Chattrapati Shahu Maharaj Government Medical College and Chhatrapati Pramilatai Raje Hospital, Kolhapur, Maharashtra.
Dr Sonali Ghodake
Junior Resident, Department of Pathology, Rajarshee Chattrapati Shahu Maharaj Government Medical College and Chhatrapati Pramilatai Raje Hospital, Kolhapur, Maharashtra.
Dr. Ravindra Ramteke
Professor And Hod, Department of Pathology, Rajarshee Chattrapati Shahu Maharaj Government Medical College and Chhatrapati Pramilatai Raje Hospital, Kolhapur, Maharashtra.
Dr Jidnyasa Mankar
Junior Resident, Department of Pathology, Rajarshee Chattrapati Shahu Maharaj Government Medical College and Chhatrapati Pramilatai Raje Hospital, Kolhapur, Maharashtra.
Dr Harsha Godaria
Junior Resident, Department of Pathology, Rajarshee Chattrapati Shahu Maharaj Government Medical College and Chhatrapati Pramilatai Raje Hospital, Kolhapur, Maharashtra.
How to Cite
Dr. Ashwini Morale, Dr. Aparna Kulkarni, Dr Sonali Ghodake, Dr. Ravindra Ramteke, Dr Jidnyasa Mankar, & Dr Harsha Godaria. (2025). UTILISATION OF BLOOD AND BLOOD COMPONENTS IN A TERTIARY CARE HOSPITAL. Journal of Population Therapeutics and Clinical Pharmacology, 32(2), 923-928. https://doi.org/10.53555/65kyas25