Pattern of blood procurement, ordering and utilization in a University Hospital in Eastern Saudi Arabia.

作者: Layla A. Bashawri

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摘要: OBJECTIVES The main objectives of this study were to review blood procurement, ordering, utilization, and causes discarding in a University hospital provide recommendations for improvement. The was also aimed at sheding light on the frequency seropositivity certain disease markers donors. METHODS This comprised retrospective 5-year analysis from January 1996 December 2000 King Fahad Hospital University, Al-Khobar, Kingdom Saudi Arabia. RESULTS In study, most common donors replacement (46%) statutory (35%), while volunteer lower percentage (19%). There high crossmatch transfusion ratio (2.96:1) similarly cancelled transfusions after crossmatching (66.2%). 2 commonly ordered components packed red cells (45.7%) random platelet concentrates (19.2%). infective were: hepatitis B core antibody (16.9%), surface antigen (2.4%) followed by C (1.5%), rapid plasma reagin (serological test syphilis) positivity (1%). non-infective descending order or expired unit shelf life (3.6%), positive donor screen (0.7%), cell morphological abnormalities (0.4%), insufficient quantity (0.3%). Release emergency uncrossmatched ranged 0.6% during period. CONCLUSIONS Performing bank internal audits reviewing statistics are vital tools successful service. Implementing policies such as type maximum surgical blood-ordering schedules will lead monetary savings more effective utilization. Drives enhancement recommended.

参考文章(34)
AM Al-Momen, Qasim O Al-Qasabi, None, Pre-operative blood donation: A Saudi experience. Saudi Medical Journal. ,vol. 20, pp. 162- 166 ,(1999)
S K Asfar, H al-Sayer, A Baraka, T Juma, Conserving blood in preparation for elective surgery. Journal of the Royal Society of Medicine. ,vol. 84, pp. 600- 601 ,(1991)
Ethel Patten, Jack B. Alperin, Type and screen: A safe and effective preoperative blood ordering policy with emphasis on its use in obstetrics and gynecology American Journal of Obstetrics and Gynecology. ,vol. 142, pp. 563- 567 ,(1982) , 10.1016/0002-9378(82)90762-1
D. R. Donaldson, W. N. Bradley, D. F. O'shaughnessy, N. G. B. Richardson, Maximum surgical blood ordering schedule in a district general hospital saves money and resources. Annals of The Royal College of Surgeons of England. ,vol. 80, pp. 262- 265 ,(1998)
J. Leikola, Achieving self sufficiency in blood across Europe. BMJ. ,vol. 316, pp. 489- 490 ,(1998) , 10.1136/BMJ.316.7130.489
C Rouault, J Gruenhagen, Reorganization of blood ordering practices. Transfusion. ,vol. 18, pp. 448- 453 ,(1978) , 10.1046/J.1537-2995.1978.18478251239.X
S. S. Bernvil, K. Sheth, M. Ellis, H. Harfi, M. Halim, A. Kariem, V. Andrews, HIV antibody screening in a Saudi Arabian blood donor population: 5 years experience. Vox Sanguinis. ,vol. 61, pp. 71- 73 ,(1991) , 10.1111/J.1423-0410.1991.TB00932.X