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.