Cross-Matching in Spinal Surgery - An Audit of Compliance at the National Spinal Injuries Unit (NSIU).

Q3 Medicine

Irish medical journal Pub Date : 2026-05-21

T McCarthy, P Cagney, C Gleeson, M Kelly, M Timlin

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引用次数: 0

Abstract

Aims: Excessive preoperative cross-matching can waste resources and shorten blood product shelf-life. The purpose of this study was to evaluate compliance with the Maximum Surgical Blood Order Schedule (MSBOS) in spinal surgery at NSIU and to quantify the impact of deviations on red cell utilisation and cost, before and after implementation of a revised departmental guideline.

Methods: A two-cycle, closed-loop audit at NSIU comparing how practice before and after a revised, spine-specific departmental transfusion guideline aligned with Maximum Surgical Blood Order Schedules was performed. Outcomes included MSBOS compliance, Red Cell Concentrate (RCC) utilisation, and estimated cost impact; two-sided tests were used.

Results: Comparing October 2024 (63 surgeries) and May 2025 (50 surgeries), MSBOS compliance improved (33/63 [52%] to 36/50 [72%]; p=0.03), over-crossmatching decreased (27/63 [43%] to 6/50 [12%]; p<0.001), and estimated overspend fell (€19,662 to €6,780). Neither cycle required intra-operative ordering beyond preoperative plans.

Discussion: Implementation of a revised, spine-focused transfusion guideline improved compliance and reduced unnecessary cross-matching at NSIU without compromising peri-operative safety.

本刊更多论文

脊柱外科交叉匹配——国家脊柱损伤科（NSIU）依从性审计。

目的：术前过度交叉配型会浪费资源，缩短血液制品的保质期。本研究的目的是评估NSIU脊柱外科对最大手术血量计划（MSBOS）的依从性，并量化实施修订部门指南前后对红细胞利用和成本的影响。方法：在NSIU进行两个周期的闭环审计，比较修订前后的实践情况，脊柱特定部门输血指南与最大外科血量计划相一致。结果包括MSBOS依从性、红细胞浓缩物（RCC）利用率和估计的成本影响；采用双侧检验。结果：与2024年10月（63例手术）和2025年5月（50例手术）相比，MSBOS依从性提高（33/63[52%]至36/50 [72%]；p=0.03），过度交叉匹配减少(27/63[43%]至6/50[12%]；讨论：实施修订后的脊柱输血指南提高了依从性，减少了NSIU不必要的交叉匹配，同时不影响围手术期安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Irish medical journal Medicine-Medicine (all)

CiteScore

1.00

自引率

0.00%

发文量

139

期刊介绍： Since its inception in 1867, the Journal of the Medical Association of Ireland and now in its present format, the Irish Medical Journal, has provided the medical community in Ireland with an invaluable service. As one of the leading biomedical publications in Ireland, it has sought to continue the education of medical students and postgraduates through scientific research, review articles and updates on contemporary clinical practices while providing an ongoing forum for medical debate. A measure of our stature is that we are listed in the Index Medicus and issued annually with a citation factor from the Institute for Scientific Information.