{"title":"探索血液利用的模式在各种产科方案展开在三级保健中心的墙:从印度西部的前瞻性研究。","authors":"Nishith Nayan , Shweta Ranjan , Rakesh Kumar , Jitendra Patel , Nilamben Prajapati , Priyatma Kumari","doi":"10.1016/j.tracli.2025.04.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and objectives</h3><div>With increasing demand for blood components being unable to meet the supply in developing countries, there is a need to implement strategies for rational use of blood components. Present study aims to evaluate transfusion practices in obstetric emergencies in a hospital-based blood centre.</div></div><div><h3>Material and methods</h3><div>The study was conducted from November 2020 to October 2021, focussing on obstetric in-patients who requested blood transfusions. Requests were processed and cross-matched following the hospital’s transfusion guidelines. The data on clinical conditions and blood transfusion details were analysed to evaluate the use of blood and blood components in relation to the patients’ diagnosis.</div></div><div><h3>Results</h3><div>Out of 6,753 obstetric cases admitted, 334 patients requested blood components. Blood components were transfused to 271 (81.1%) patients. Total 927 units were used, out of which 57.1% were packed red blood cells. Most common indications were atonic postpartum haemorrhage (36.8%), placental abruption (23.7%) and placenta previa (16.5%). Crossmatch-to-Transfusion Ratio was 1.5, Transfusion Probability was 81.1%, Transfusion Index was 2.8, and Maximum Blood Ordering Schedule was 4.2.</div></div><div><h3>Conclusion</h3><div>Standard Operating Procedure for an efficient blood ordering policy should be developed and strict adherence to established blood transfusion guidelines must be ensured. Over-ordering can lead to unnecessary reservations and subsequent shortages. Emphasis on appropriate use of blood components to ensure their effective management is crucial.</div></div>","PeriodicalId":23262,"journal":{"name":"Transfusion Clinique et Biologique","volume":"32 3","pages":"Pages 265-271"},"PeriodicalIF":1.2000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exploring the pattern of blood utilization in various obstetric scenarios unfolding within the wall of tertiary care centre: A prospective study from western India\",\"authors\":\"Nishith Nayan , Shweta Ranjan , Rakesh Kumar , Jitendra Patel , Nilamben Prajapati , Priyatma Kumari\",\"doi\":\"10.1016/j.tracli.2025.04.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background and objectives</h3><div>With increasing demand for blood components being unable to meet the supply in developing countries, there is a need to implement strategies for rational use of blood components. Present study aims to evaluate transfusion practices in obstetric emergencies in a hospital-based blood centre.</div></div><div><h3>Material and methods</h3><div>The study was conducted from November 2020 to October 2021, focussing on obstetric in-patients who requested blood transfusions. Requests were processed and cross-matched following the hospital’s transfusion guidelines. The data on clinical conditions and blood transfusion details were analysed to evaluate the use of blood and blood components in relation to the patients’ diagnosis.</div></div><div><h3>Results</h3><div>Out of 6,753 obstetric cases admitted, 334 patients requested blood components. Blood components were transfused to 271 (81.1%) patients. Total 927 units were used, out of which 57.1% were packed red blood cells. Most common indications were atonic postpartum haemorrhage (36.8%), placental abruption (23.7%) and placenta previa (16.5%). Crossmatch-to-Transfusion Ratio was 1.5, Transfusion Probability was 81.1%, Transfusion Index was 2.8, and Maximum Blood Ordering Schedule was 4.2.</div></div><div><h3>Conclusion</h3><div>Standard Operating Procedure for an efficient blood ordering policy should be developed and strict adherence to established blood transfusion guidelines must be ensured. Over-ordering can lead to unnecessary reservations and subsequent shortages. Emphasis on appropriate use of blood components to ensure their effective management is crucial.</div></div>\",\"PeriodicalId\":23262,\"journal\":{\"name\":\"Transfusion Clinique et Biologique\",\"volume\":\"32 3\",\"pages\":\"Pages 265-271\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Transfusion Clinique et Biologique\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1246782025000709\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"HEMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Transfusion Clinique et Biologique","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1246782025000709","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEMATOLOGY","Score":null,"Total":0}
Exploring the pattern of blood utilization in various obstetric scenarios unfolding within the wall of tertiary care centre: A prospective study from western India
Background and objectives
With increasing demand for blood components being unable to meet the supply in developing countries, there is a need to implement strategies for rational use of blood components. Present study aims to evaluate transfusion practices in obstetric emergencies in a hospital-based blood centre.
Material and methods
The study was conducted from November 2020 to October 2021, focussing on obstetric in-patients who requested blood transfusions. Requests were processed and cross-matched following the hospital’s transfusion guidelines. The data on clinical conditions and blood transfusion details were analysed to evaluate the use of blood and blood components in relation to the patients’ diagnosis.
Results
Out of 6,753 obstetric cases admitted, 334 patients requested blood components. Blood components were transfused to 271 (81.1%) patients. Total 927 units were used, out of which 57.1% were packed red blood cells. Most common indications were atonic postpartum haemorrhage (36.8%), placental abruption (23.7%) and placenta previa (16.5%). Crossmatch-to-Transfusion Ratio was 1.5, Transfusion Probability was 81.1%, Transfusion Index was 2.8, and Maximum Blood Ordering Schedule was 4.2.
Conclusion
Standard Operating Procedure for an efficient blood ordering policy should be developed and strict adherence to established blood transfusion guidelines must be ensured. Over-ordering can lead to unnecessary reservations and subsequent shortages. Emphasis on appropriate use of blood components to ensure their effective management is crucial.
期刊介绍:
Transfusion Clinique et Biologique, the official journal of the French Society of Blood Transfusion (SFTS):
- an aid to training, at a European level
- the only French journal indexed in the hematology and immunology sections of Current Contents
Transfusion Clinique et Biologique spans fundamental research and everyday practice, with articles coming from both sides. Articles, reviews, case reports, letters to the editor and editorials are published in 4 editions a year, in French or in English, covering all scientific and medical aspects of transfusion: immunology, hematology, infectious diseases, genetics, molecular biology, etc. And finally, a convivial cross-disciplinary section on training and information offers practical updates.
Readership:
"Transfusers" are many and various: anesthetists, biologists, hematologists, and blood-bank, ICU and mobile emergency specialists...