Utilization of Blood and its components in tertiary care Hospital of Eastern India

Abstract

Background: Blood is an important sterile body fluid, which is essential for human survival. Transfusion of blood and blood components is an integral part of health care practice. Injudicious use of blood and its products among patients causes unnecessary burden to patients as well to the blood bank. Objectives: The aim of this study is to evaluate the utilization of blood and blood components by various departments in a tertiary care hospital. Materials and Methods: We carried out a cross-sectional study on patients requiring transfusion of blood and its components from January 2018 to December 2018. Data was retrieved from monthly collection register and utilization of blood and blood components was taken from the requisition forms and blood issue registers. Results: Total whole blood units collection was16439. A total of 20088 units were utilized which included whole blood and blood components. Whole blood was the most utilized product followed by Packed red blood cells (PRBC), platelet concentrates and the least utilized product was fresh frozen plasma (FFP). Regional cancer centre (RCC) wards utilized maximum 17.8% of total issued whole blood and blood component units followed by Emergency/Trauma department. Conclusion: Formulation of strict guidelines for transfusion practices will improve the appropriate use of blood and its products. Periodic evaluation of utilization pattern by various departments and demand for different blood products also helps to maintain the bloodstock. It is important to create awareness among clinicians regarding advantages of component therapy over whole blood transfusion