Study of Blood Utilisation in Vali-e Asr educational hospital in Birjand; Iran: Short Communication

Efficiency of blood request and transfusion, if purposeful, can prevent wasting of blood in hospital wards and as a result, decrease overload on the blood bank and spare various expenses..The aim of the present descriptive study was to assess the efficiency of blood utilization in Vali-Asr educational hospital in Birjand in order to take an effective step to make medical centers aware of the coordination required between blood need and blood request. In this descriptive and cross-sectional study. Blood requests in 16 wards of a hemovigilance based hospital program over the first 4-months of 2013 were included. The cross-match transfusion ratio (C/T), the transfusion index (TI), and transfusion probability (T %) were calculated. Out of 2201 cross-matched blood units only 1394 units were transfused into 624 patients.. C/T T% and TI. were <2.5, >50% and >0.5 respectively. The most C/T was in the maternity ward and the least belonged to ENT ward. In both of these wards C/T and TI were more than normal. In total for 1617 patients ordered blood with the mean age of 41.55 + 23/94 years. Out of 2201 cross-matched blood units only 1394 units were transfused for 624 patients. The overall C/T ration, TI index and T% were 1.5, 1.3, and 60.1% respectively. The overall C/T ratio and TI index obtained in this study are considered to be optimal compared with the standard figures of C/T< 2.5 and TI>5. However, blood utilization model in some wards like gynaecology was not appropriate, indicating a more effective guideline for blood order.