A Survey on Transfusion Status in Orthopedic Surgery at a Trauma Center

Increased costs and mortality associated with inappropriate blood transfusions have led to investigations about blood request and blood transfusion techniques. We investigated the transfusion status in patients who underwent orthopedic surgery in Poursina Hospital (Rasht, Iran) to optimizing blood u...

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Bibliographic Details
Published inArchives of bone and joint surgery Vol. 4; no. 1; pp. 70 - 74
Main Authors Soleimanha, Mehran, Haghighi, Mohammad, Mirbolook, Ahmadreza, Sedighinejad, Abbas, Mardani-Kivi, Mohsen, Naderi-Nabi, Bahram, Chavoshi, Tahereh, Mehrnoosh, Mehrnoosh Ghandili
Format Journal Article
LanguageEnglish
Published Iran Archives of Bone and Joint Surgery Co 01.01.2016
Subjects
Transfusion possibility
Orthopedic surgery
Blood transfusion
Transfusion index
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Summary:Increased costs and mortality associated with inappropriate blood transfusions have led to investigations about blood request and blood transfusion techniques. We investigated the transfusion status in patients who underwent orthopedic surgery in Poursina Hospital (Rasht, Iran) to optimizing blood usage and determine if a scheduled transfusion program for every orthopedic surgery could improve blood transfusion management. In this descriptive-prospective study, all orthopedic surgeries in Poursina Hospital, Rasht, between April to June 2013 were reviewed. All patient information was recorded, including: demographics, type of surgery, hemoglobin level, cross-match test, duration of surgery, and blood loss, and transfusion. Based on the one-way ANOVA and independent samples test analysis, cross-match to transfusion ratio and transfusion possibility, the transfusion index, and maximal surgical blood order schedule were calculated to determine blood transfusion status. Among 872 selected orthopedic surgery candidates, 318 of them were cross-matched and among those, 114 patients received a blood transfusion. In this study, the cross-match to transfusion ratio was 6.4, transfusion possibility 36.47%, transfusion index 0.6, and maximal surgical blood order schedule 0.9. We found that blood ordering was moderately higher than the standard; so it is highly recommended to focus on the knowledge of evidence based on transfusion and standard guidelines for blood transfusion to avoid over-ordering.
ISSN:2345-4644
2345-461X