Pattern of blood requisition and utilization in a tertiary care hospital: a chart review study

Authors

  • Mohammed Rafique Department of Community Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India http://orcid.org/0000-0002-0248-2192
  • Laisangbam Tarakishwor Singh Department of Community Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India
  • N. Ranabrata Meetei Department of Community Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India
  • Shantibala Konjengbam Department of Community Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India
  • Brogen Singh Akoijam Department of Community Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20211268

Keywords:

Blood requisition, Blood component, Chart review

Abstract

Background: There is a tendency to order more units of blood than what are actually needed. As blood being finite and recognition of a high rate of inappropriate use, there is a need to monitor and regulate it. It can be done by the analysis of blood requisitions. This study was done to analyze the pattern of blood requisition and utilization in a tertiary care hospital considering the lack of such studies conducted.

Methods: A chart review was conducted during April to May, 2020 to analyse 5601 blood requisitions made during April 2019 to March 2020 in the Department of Transfusion Medicine, RIMS Imphal. Data abstraction form was used to abstract data and it was analyzed in IBM Statistical package for social sciences (SPSS) version 21.

Results: Out of total 5601 blood requisitions, 52.8% were made for female. Nearly one-fifth (18.4%) of the requisitions were for 50-59 years. Of the blood group, A+ (33.4%) was the commonest. Nearly one-third (32.4%) of blood units requested were from the Medicine Department. Anemia (71.6%) was the most common indication. Out of total 5601 requisitions, 4727 (84.4%) were made for packed RBC, 258 (4.6%) for FFP, 232 (4.1%) for platelets and 44 (0.8%) for whole blood. Majority (14.1%) of requisitions were made during the month of July. Replacement was the commonest mode of issue of blood.

Conclusions: Predominant blood requisitions were made for A+ blood group. PRBC constitute majority of the blood requisition. Majority of the requisitions were made from medicine department.

Author Biographies

Mohammed Rafique, Department of Community Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India

DEPARTMENT OF COMMUNITY MEDICINE

POST GRADUATE TRAINEE

Laisangbam Tarakishwor Singh, Department of Community Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India

DEPARTMENT OF COMMUNITY MEDICINE

PROFESSOR

References

World Health Organization. Handbook: The Clinical use of blood, Geneva, 2001. Available at: https://apps.who.int/iris/handle/10665/42396. Last accessed on 17th May, 2020.

Kaur D, Kandwal M. Blood utilization and quality indicators–Trend at a superspeciality hospital in Northern India. HTIJ. 2016;2(3):53-6.

Yasmeen I, Ahmed I, Sidhu M. Pattern of blood component cross-matching and their

utilization in a tertiary care hospital of Jammu region. Int J Res Med Sci. 2018;6(2):1337-41.

Kumari S Blood transfusion practices in a tertiary care centre in Northern. India J Lab Physicians. 2017;26(2):71-5.

Luby S, Khanani R, Zia M, Vellani Z, Ali M, Qureshi AH et al. Evaluation of blood bank practices in Karachi, Pakistan, and the government’s response. Health Policy Plan. 2000;15(2):217-22.

Raghuwanshi B, Pehlajani NK, Sinha MK, Tripathy S. A retrospective study of transfusion practices in a Tertiary Care Institute. Indian J Anaesth. 2017;61(1):24-31.

Kafle SU, Jha KK, Singh M, Shaukin S. Analysis of blood transfusion request and utilization pattern at teaching hospital in Eastern Nepal. J Pathol Nepal. 2018;8(2):1374-7.

Makroo RN, Raina V, Kumar P, Thakur UK. A prospective audit of transfusion requests in a tertiary care hospital for the use of fresh frozen plasma. Asian J Transfus Sci. 2007;1(2):59-67.

Qureshi MZ, Sawhney V, Bashir H, Sidhu M, Maroof P. Utilisation of blood components in a tertiary care hospital. IJCRR. 2015;7(22):1-9.

Devi KM, Sharma AB, Singh LD, Vijayanta K, Lalhriatpuii ST, Singh AM. Quality indicators of blood utilization in the tertiary care center in the north-eastern India. J Dent Med Sci. 2014;13(3):50-2.

Downloads

Published

2021-03-25

How to Cite

Rafique, M., Singh, L. T., Meetei, N. R., Konjengbam, S., & Akoijam, B. S. (2021). Pattern of blood requisition and utilization in a tertiary care hospital: a chart review study. International Journal Of Community Medicine And Public Health, 8(4), 1991–1994. https://doi.org/10.18203/2394-6040.ijcmph20211268

Issue

Section

Original Research Articles