Introduction: Blood transfusion services in the hospital is responsible to provide safe and adequate blood and blood components to the patients. For assuring the adequate use of blood and blood components audit of blood usage patterns in the hospital is necessary.So, in this study we randomly selected the blood and blood component request forms to evaluate the indications of transfusion and we studied the usage pattern of blood and blood component therapy by various departments.
Material and Method: This was prospective observational studyconducted in in tertiary level hospital of Southern Rajasthan for a period of one year from January 2014 to December 2014. To study utilisation pattern of blood and blood components, we collected data for all the departments (or clinical wards) who had been issued whole blood, packed red blood cells (PRBCs), fresh frozen plasma (FFP), and platelets. For evaluation of indications of transfusion 600 randomly selected forms - 200 Whole Blood (WB), 200 Packed Red Blood Cells (PRBCs), 100 Random Donor Platelets (RDP), 100 Fresh Frozen Plasma (FFP) in all patients from different clinical departments was reviewed.
Results: A total of 18382 transfusions were done in various departments during year 2014, out of which 3585 were whole blood transfusions and rest 14802 transfusions were component transfusions. We used 4.12 times more blood components used as compared to whole blood. We found that 19.5% whole blood, 64.61% packed red blood cells, 8.03% random donor platelets and 7.84% fresh frozen plasma were used by various departments.
Discussion and Conclusion: We observed that still clinicians not following the guidelines for transfusion of blood and blood components. We recommended that for judicious usage of blood and blood components regular audit of transfusion policies of the hospital are required along with that continuous education of clinicians is also required.
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2022: 6.012
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