A Review of Blood Transfusion Requests in Rl Jalappa Hospital and Research Centre for Blood and Blood Components
Predetermined transfusion guidelines, pretransfusion approval, and transfusion audits are useful tools in the education of those ordering blood components, potentially resulting in the reduction of inappropriate use of blood components. In spite of advice by the blood bank physician, blood components released based on the demand of the ordering physician, which was deemed as inappropriate transfusions. The present study was conducted upon 1694 episodes of transfusion units for different blood components over a period of 3 months from November 2011 to January 2012. Of the total 1694 transfusion episodes in 920 requests for 796 patients. 124 patients had multiple requests. 208 males and 588 were females. Single unit requisitions were 456, and two unit requisitions were 354, and 3 or more unit requisition in 110 requests. 222 requests contained > 10 gms% as indication, 330 requests had 7.1- 9.9 gms%, and 250 requests with < 7 gms%. Elective transfusion requests found in 100 requests and 369 had emergency request, and 451 didn’t contain any information.136 patients received single unit transfusion. 660 patients had 2 or more than 2 unit transfusion. During this 3 month period 20.3 units /day was bled at blood bank and in camps. 26.4 units/day issued to both Inpatient (IP) and Outpatient (OP) requests. 18.4 units/day was issued to IP requests.450 requests from Obstetrics and Gynecology (OBG) department, 735 requests had indication for blood transfusion written in the requisition. The objective of this study is prospective audits of blood component orders can help reduce inappropriate transfusions and can be a valuable educational tool for the ordering physicians as well as for residents in training.
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