Maximum surgical blood ordering schedule for elective surgical procedures in Omdurman teaching hospital, Sudan

TL;DR

This study examines blood ordering and transfusion practices in elective surgeries at a Sudanese hospital to improve efficiency.

Contribution

The study evaluates transfusion indicators to assess and improve blood ordering practices in elective surgeries.

Findings

Only 22.8% of cross-matched blood units were transfused.

Transfusion probability and index were higher than standard guidelines.

Abstract

The need for blood during a surgical procedure is greater than what blood banks are able to provide. There is an excessive amount of blood being ordered for elective surgeries, surpassing the actual requirements. Only 30% of the cross matched blood is actually used in these surgeries. The accuracy of estimating the transfusion needs before a surgical procedure can be determined by looking at the cross match to transfusion ratio and the transfusion index. “These indicators play a crucial role in developing the maximum surgical blood ordering schedule; in this study, these indicators were tested.”

Is to determine the efficiency of blood ordering and transfusion practices for patients undergoing elective surgeries.

This study is a prospective cross-sectional hospital-based study done at Omdurman Teaching Hospital-Sudan. Conducted for the duration of 6 months period from July to December 2019.The study participants were patients who underwent elective surgical procedures in general surgery and Urology departments as total coverage sample over a period of study duration. Ethical clearance obtained from ethical committee of Sudan Medical Specialization Board.

Two hundreds seven patients included in this study, the amount of blood units requested were 443-unit, cross matching for 98.6% (n 437) of units were done. Only 100 unit were Transfused (22,8%). The calculated CT ratio was 4.4, transfusion index was 1.6 and transfusion probability was 29.9%.

Transfusion probability and transfusion index of the present study were optimal but comparatively higher than the standard guidelines as most of the cross matched blood was not utilized.

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