A Prospective Study of Blood Usage Pattern and Demand Supply Assessment in a Tertiary Care Hospital in India

S. Singh, Heena Nazreen
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引用次数: 2

Abstract

Background: Most patients of Mahatma Gandhi Memorial (MGM) Hospital receive blood transfusion from MGM Blood Bank, but representative data are lacking to substantiate this claim, and the characteristics of individuals who receive the transfusion have not been well described. Aim and Objective: The main objective of the study was to assess the utilization pattern of blood and blood components and to assess their demand and supply in blood bank of MGM hospital, Warangal. Material and Methodology: The data collection form was exclusively designed for data collection and entry. The analysis was done using MS-Access 2010 and Microsoft excel 2010. The statistical analysis was performed using SPSS22.0 P ≤ 0.05 as level of significance. Results and Discussion: Most of the donors were found to be males (95%) of which O positive 1077(40%) were high in number. 23 infected donations were found in 2684 donations and were excluded from out study population. Age group of 20-29 were the highest donors and also the receptors. 2661 donations were supplied as 3225 units to 2223 patients, 2 unit transfusions was done in 481(21.6%) patients >2 transfusions was found in 197(8.85) patients. Highest number of requisitions were from general medicine ward and most indication was anemia (Includes various causes that may result in anemia, major being nutritional anemia) among which Females were most suffering group with anemia. There was no significant difference found between the average mean of donations per day (32.91 ± 11.65) and average issues per day (28.92 ± 60.19) at p<0.5333. When the replacements and unsupplied units were considered the blood bank was able to supply only 85% of the requests and was falling short of supplies. Conclusion: Periodic review of blood usage pattern is very essential in MGM hospital. Implementing a transfusion committee is essential for checking the appropriateness of transfusion.
印度一家三级医院血液使用模式和需求供应评估的前瞻性研究
背景:圣雄甘地纪念(米高梅)医院的大多数患者从米高梅血库接受输血,但缺乏有代表性的数据来证实这一说法,并且接受输血的个体的特征尚未得到很好的描述。目的与目的:了解瓦朗加尔市米高梅医院血库血液及血液成分的利用情况,并对其供求情况进行评估。材料和方法:数据收集表是专门为数据收集和输入而设计的。使用MS-Access 2010和Microsoft excel 2010进行分析。采用SPSS22.0 P≤0.05为显著性水平进行统计学分析。结果与讨论:供体以男性居多(95%),其中O阳性1077例(40%)数量较多。2684例献血者中有23例被感染,被排除在我们的研究人群之外。20 ~ 29岁是供体和受体最多的年龄组。2223例患者共捐献2661份,3225个单位,481例(21.6%)患者输血2个单位,197例(8.85)患者输血2个单位。以普通内科病房就诊人数最多,适应症以贫血为主(包括各种可能导致贫血的原因,以营养性贫血为主),其中以女性为主。平均每天捐献次数(32.91±11.65)与平均每天捐献次数(28.92±60.19)之间差异无统计学意义(p<0.5333)。当考虑到替换和未供应的单位时,血库只能满足85%的需求,并且供应不足。结论:定期复查米高梅医院的用血情况是十分必要的。实施输血委员会对于检查输血的适当性至关重要。
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