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

Background and Aim: 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. Materials and Methods: 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. Results: Out of 2201 cross-matched blood units only 1394 units were transfused into 624 patients. . C/T T% and TI . were 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. Results: 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. Conclusion: 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