Cargando…
Blood Utilization Trends in Obstetrics and Gynecology: A Seven-Year Retrospective Study in a Teaching Hospital in Sikkim, India
Introduction: Unutilized cross-matched blood due to excess cross-match requisitions results in unnecessary wastage of inventory, time, labor, and financial resources. This retrospective cross-sectional study aims to assess the blood utilization practices in obstetrics/gynecology (OB/GYN) over a peri...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10576974/ https://www.ncbi.nlm.nih.gov/pubmed/37846231 http://dx.doi.org/10.7759/cureus.45293 |
_version_ | 1785121229280116736 |
---|---|
author | Sharma, Akanksha Sharma, Dhruva K Datta, Supratim |
author_facet | Sharma, Akanksha Sharma, Dhruva K Datta, Supratim |
author_sort | Sharma, Akanksha |
collection | PubMed |
description | Introduction: Unutilized cross-matched blood due to excess cross-match requisitions results in unnecessary wastage of inventory, time, labor, and financial resources. This retrospective cross-sectional study aims to assess the blood utilization practices in obstetrics/gynecology (OB/GYN) over a period of seven years with respect to “blood utilization indices” and standard recommendations. Material and methods: Cross-match requisitions from the OB/GYN Department over a period of seven years (2012-2018) were selected and included in the study using a suitable sampling technique. Patient details were retrieved from the Hospital Information System (HIS) database. The preoperative crossmatch requisitions and blood utilization data were recorded. “Blood utilization indices” and whole blood/component utilization patterns were analyzed. Results: A total of 894 units of blood were cross-matched for 523 patients included in the study. A total of 305 of these patients were transfused with 445 units. During the initial phase of the study (2012-2014), the average cross-match-to-transfusion ratio (CTR, 6.6), transfusion probability (12.3), transfusion index (0.23), and component utilization (4%) were in marked deviation from recommended “blood utilization indices.” This was in contrast with the later phase of the study (2015-2018) wherein the average CTR (1.5), transfusion probability (69.3), transfusion index (1.3), and component utilization (91.8%) were compliant with recommended “blood utilization indices.” Conclusion: A progressive improvement in blood utilization practices was observed in the OB/GYN Department during the study period. Awareness campaigns have contributed to the implementation of rational and judicious blood transfusion practices in our center. |
format | Online Article Text |
id | pubmed-10576974 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-105769742023-10-16 Blood Utilization Trends in Obstetrics and Gynecology: A Seven-Year Retrospective Study in a Teaching Hospital in Sikkim, India Sharma, Akanksha Sharma, Dhruva K Datta, Supratim Cureus Obstetrics/Gynecology Introduction: Unutilized cross-matched blood due to excess cross-match requisitions results in unnecessary wastage of inventory, time, labor, and financial resources. This retrospective cross-sectional study aims to assess the blood utilization practices in obstetrics/gynecology (OB/GYN) over a period of seven years with respect to “blood utilization indices” and standard recommendations. Material and methods: Cross-match requisitions from the OB/GYN Department over a period of seven years (2012-2018) were selected and included in the study using a suitable sampling technique. Patient details were retrieved from the Hospital Information System (HIS) database. The preoperative crossmatch requisitions and blood utilization data were recorded. “Blood utilization indices” and whole blood/component utilization patterns were analyzed. Results: A total of 894 units of blood were cross-matched for 523 patients included in the study. A total of 305 of these patients were transfused with 445 units. During the initial phase of the study (2012-2014), the average cross-match-to-transfusion ratio (CTR, 6.6), transfusion probability (12.3), transfusion index (0.23), and component utilization (4%) were in marked deviation from recommended “blood utilization indices.” This was in contrast with the later phase of the study (2015-2018) wherein the average CTR (1.5), transfusion probability (69.3), transfusion index (1.3), and component utilization (91.8%) were compliant with recommended “blood utilization indices.” Conclusion: A progressive improvement in blood utilization practices was observed in the OB/GYN Department during the study period. Awareness campaigns have contributed to the implementation of rational and judicious blood transfusion practices in our center. Cureus 2023-09-15 /pmc/articles/PMC10576974/ /pubmed/37846231 http://dx.doi.org/10.7759/cureus.45293 Text en Copyright © 2023, Sharma et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Obstetrics/Gynecology Sharma, Akanksha Sharma, Dhruva K Datta, Supratim Blood Utilization Trends in Obstetrics and Gynecology: A Seven-Year Retrospective Study in a Teaching Hospital in Sikkim, India |
title | Blood Utilization Trends in Obstetrics and Gynecology: A Seven-Year Retrospective Study in a Teaching Hospital in Sikkim, India |
title_full | Blood Utilization Trends in Obstetrics and Gynecology: A Seven-Year Retrospective Study in a Teaching Hospital in Sikkim, India |
title_fullStr | Blood Utilization Trends in Obstetrics and Gynecology: A Seven-Year Retrospective Study in a Teaching Hospital in Sikkim, India |
title_full_unstemmed | Blood Utilization Trends in Obstetrics and Gynecology: A Seven-Year Retrospective Study in a Teaching Hospital in Sikkim, India |
title_short | Blood Utilization Trends in Obstetrics and Gynecology: A Seven-Year Retrospective Study in a Teaching Hospital in Sikkim, India |
title_sort | blood utilization trends in obstetrics and gynecology: a seven-year retrospective study in a teaching hospital in sikkim, india |
topic | Obstetrics/Gynecology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10576974/ https://www.ncbi.nlm.nih.gov/pubmed/37846231 http://dx.doi.org/10.7759/cureus.45293 |
work_keys_str_mv | AT sharmaakanksha bloodutilizationtrendsinobstetricsandgynecologyasevenyearretrospectivestudyinateachinghospitalinsikkimindia AT sharmadhruvak bloodutilizationtrendsinobstetricsandgynecologyasevenyearretrospectivestudyinateachinghospitalinsikkimindia AT dattasupratim bloodutilizationtrendsinobstetricsandgynecologyasevenyearretrospectivestudyinateachinghospitalinsikkimindia |