Blood Transfusion and Associated Factors in Pregnant Women Admitted to a Tertiary Care Hospital in Southeast Iran

IF 0.6 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
A. Arzani, S. Tabatabaei, Mehdi Mohammadi, Fateme Behmanesh Pour
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Abstract

Background: Effective blood transfusion is a life-saving practice in obstetrics and gynecology emergencies that can prevent blood product wastage in hospitals. Objectives: This study was performed to evaluate the appropriateness of the use of blood products in pregnant women in a tertiary care hospital in Zahedan, southeast Iran. Methods: This cross-sectional study was carried out from September 2019 to March 2020 to assess the patterns of blood utilization in a tertiary care hospital in Zahedan, Iran. Blood bank registries and the data of 1,500 pregnant women were used for data analysis, using blood transfusion indices, including cross-matched to transfusion (C/T) ratio, transfusion probability (T), and transfusion index (TI). Results: Out of 1,064 units of requested blood products, 581 (54.6%) were cross-matched, and 774 (72.7%) were transfused to patients. The blood transfusion indices of C/T, T%, and TI were 2.11, 48.48%, and 0.76, respectively. The transfusion rate was 6.2%, and the commonest associated obstetrics complication requiring transfusion was uterine atony (32.2%), followed by anemia (17.2%). There was a statistically significant relationship between the type of delivery, uterine and placental problems, coagulation disorders during pregnancy, number of deliveries, and residence place, and the probability of blood transfusion (P > 0.05). Conclusions: The overall blood utilization indices were encouraging; however, the proportion of blood wastage was relatively high. Regular auditing is needed to optimize the use of blood and blood products in obstetrics and gynecology departments.
伊朗东南部一家三级医院孕妇的输血及相关因素
背景:有效输血是妇产科急诊中的一种救命措施,可以防止医院血液制品浪费。目的:本研究旨在评估伊朗东南部扎黑丹一家三级护理医院孕妇使用血液制品的适宜性。方法:这项横断面研究于2019年9月至2020年3月进行,以评估伊朗扎黑丹一家三级护理医院的血液利用模式。使用血库登记和1500名孕妇的数据进行数据分析,使用输血指数,包括交叉匹配输血率(C/T)、输血概率(T)和输血指数(TI)。结果:在1064单位要求的血液制品中,581单位(54.6%)是交叉匹配的,774单位(72.7%)输给了患者。C/T、T%和TI的输血指数分别为2.11、48.48%和0.76。输血率为6.2%,最常见的需要输血的产科并发症是子宫无力(32.2%),其次是贫血(17.2%)。分娩类型、子宫和胎盘问题、妊娠期凝血障碍、分娩次数和居住地之间存在统计学显著关系,以及输血概率(P>0.05);然而,血液流失的比例相对较高。需要定期审计,以优化妇产科血液和血液制品的使用。
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来源期刊
Health Scope
Health Scope PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
自引率
16.70%
发文量
34
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