The use of blood and blood products in Vali-e Asr Educational Hospital (Birjand, Iran)

Unnecessary transfusions and excessive use of blood and blood products are some of the most common problems in hospitals, causing much material and spiritual damage. Therefore, continuous monitoring of blood use is of great importance. In this study, the use of blood and blood products in Vali-e-Asr Hospital in Birjand was evaluated over a one-year period.
In this descriptive study, all forms of blood transfusion from different wards of the Vali-e-Asr Educational Hospital from Shahrivar 1394 through Shahrivar 1395 (According to Iranian Calendar) were reviewed. Using extracted data, the use of blood and blood products as well as the cross-match transfusion ratio (C/T) was calculated. The data were analyzed by K2 test & SPSS 16.
During the study, a total of 8173units of blood and blood products were transfused to patients. The overall C/T ratio was 1.35. C/T ratio in the heart surgery ward was 2.13% while it was 1.07% in the neurology and internal wards. In regard to packed cell utilization, the emergency and ENT wards had the highest (801 units) and the lowest (9 units) rates, respectively. In terms of the types of transfused blood and blood products, 3200 units of packed cell, 2770 units of platelet, 1876 units of FFP, and 327 units of cryoprecipitate were transfused.
Conclusions : The results showed that the pattern of blood use in BirjandVali-e-Asr Hospital abides by the standards. However, the quality of blood management must be improved and the existing errors reduced.