Assessment of request, distribution and using of platelet concentrates in hospital's emergency department of Rasool Akram in Tehran

Indiscriminate or no indication prescribed blood products can increase health care costs, transmission of infection, infusion-related complications and improper disposal of blood products and inappropriate distribution of blood products can reduce blood bank reserves.
This study was performed to determine the index of platelet concentrate transfusion in an emergency department.
A cross-sectional study was done on 28 patients admitted in the emergency department, Rasool Akram hospital, Tehran for one year (October, 2014-2015). Infusion index include crossmatch / transfusion ratio (C/T Ratio), transfusion ratio (T%) and transfusion index (TI), separately were identified. Also, the non-infusion or incomplete injection units were recorded. For data analysis student T-Test and analysis of variance and chi-square were used.
Findings: 17 (60.7%) cases were men and 11 (39.3%) were female with mean age 47.36±21.30 years. The most requests for platelet concentrate were pre-operation preparation (16 cases). In 15 cases, 10 units of platelet concentrate was request for the each patient. A total of 249 units of platelet concentrate were requested for 28 patients, which 141 units were used (56.62%). Transfusion ratio, C/T ratio and TI were 71.42%, 1.76 and 5.03, respectively.
Based on the findings, the platelet concentrate transfusion indexes in the emergency department were acceptable and can be used as a suitable approach in the management of blood products in emergency departments of the hospital.