Submitted: 02 Dec 2018
Accepted: 20 Mar 2019
First published online: 31 Mar 2019
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Int J Basic Sci Med. 2019;4(1):28-33.
doi: 10.15171/ijbsm.2019.06
  Abstract View: 39
  PDF Download: 61

Original article

Blood Components Management: An Analysis on the Blood Transfusion Medicine in Zabol, Sistan and Baluchistan Province of Iran

Omolbanin Sargazi-Aval 1, Ali Bazi 1, Hojat Shahraki 2, 3 * , Ahmad Ali Jalali nezhad 4, Hanieh Bakhshi 5, Fatemeh Mirasghari 5, Ahmad Sohrabi 6, Leila Jafari 7

1 Faculty of Allied Medical Sciences, Zabol University of Medical Sciences, Zabol, Iran
2 Cellular and Molecular Research Center, School of Allied Medicine, Zahedan University of Medical Sciences, Zahedan, Iran
3 Department of Laboratory Sciences, School of Allied Medicine, Zahedan University of Medical Sciences, Zahedan, Iran
4 Department of Physiology, Faculty of Medicine, Zabol University of Medical Sciences, Zabol, Iran
5 Student Research Committee, Zabol University of Medical Sciences, Zabol, Iran
6 Neonatal and Children’s Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran
7 Department of Hematology and Blood Transfusion, School of Allied Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Introduction: Blood components are commonly used during surgical operations; however, limited sources are globally available in this regard. The present study aimed to assess blood product usage and wastage in Amir-Almomenin hospital, Zabol, Iran.

Methods: A total of3883 ordered blood components were retrospectively analyzed in AmirAlmomenin hospital, Zabol, Iran (January) 2017-(July)2018. The data were analyzed using the SPSS software, version 18.

Results: The results demonstrated that the most frequent ordered blood products included packed red blood cells (PRBCs, 2097 units, 54%), followed by fresh frozen plasma (823 units, 21.2%), platelet concentrates (757 units, 19.5%), and cryoprecipitate (206 units, 5.2%), respectively. Intensive care unit department had the highest records of orders (34.2%) and the ratio of crossmatched blood to transfused blood (C/T) was 1.73. In addition, based on the results, the total amount of component wastage was 2.03% with the highest and lowest percentage for PRBCs (59.6%) and cryoprecipitate (4.35%), respectively. The highest rate of wastage was related to the delivery ward (8.23%). There was no return from pediatrics, dialysis, pediatric critical care unit, critical care unit, and gastroenterology wards. Further, a significant difference was observed between the returned rates of D-positive and D-negative blood components with higher rates belonging to D-negative products (P=0.001).

Conclusion: In general, due to the 2.03% wastage rate, there is an indispensable need regarding implementing sufficient supervision and assigning vigilant policies on the hospital-based transfusion policies in order to optimize the blood product management.

Please cite this article as follows: Sargazi-Aval O, Bazi A, Shahraki H, Jalali Nezhad AA, Bakhshi H, Mirasghari F, et al. Blood components management: an analysis on the blood transfusion medicine in Zabol, Sistan and Baluchistan province of Iran. Int J Basic Sci Med. 2019;4(1):28- 33. doi:10.15171/ ijbms.2019.06.
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