Journal of Isfahan Medical School

Journal of Isfahan Medical School

Pattern of Maximum Demand Blood in Cardiac Surgeries in Shahid Chamran Hospital, Isfahan, Iran, during 2011-2014

Document Type : Original Article (s)

Authors
Mojtaba Mansouri 1
Gholamreza Masoumi 1
Samira Khalili 2
1 Associate Professor, Anesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
10.22122/jims.v35i454.8336
Abstract
Background: This study aimed to determine the demand of maximum amount of blood in cardiac surgeries in Shahid Chamran hospital, Isfahan, Iran.Methods: In this cross-sectional study during 12012-2013, 1125 hospital records were studied. Information of blood bank included amounts and kind of reserved, crossmatched, and prescribed a blood, and transfusion indices were determined by the type of surgery.Findings: Amount of reserved pack cell was more than 3 time of consumed and only 34% of reserved pack cell was used for patients; the difference between reservation and consumption was significant. Crossmatched/transfused index (C/T) in most surgical procedures was not optimum (< 2.5); but transfusion index (TI) was desirable in all patients (1.01). Transfusion probability (T%) was statistically different based on the type of operation.Conclusion: Blood and product reservation was more than the required amount and led to wasting blood and products and increase in hospital costs. Thus, reservation of blood and its products must be calculated based on the type of surgery, and a practical protocol must be provided and implemented in all hospitals.
Keywords
Blood Transfusion
Cardiac Surgery
Blood grouping and crossmatching
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Journal of Isfahan Medical School
Volume 35, Issue 454 - Serial Number 454
September and October 2018
Pages 1564-1571

  • Receive Date 06 June 2017
  • Accept Date 06 April 2022