Abstract
Background: Most patients of Mahatma Gandhi Memorial (MGM) Hospital receive blood transfusion from MGM Blood Bank, but representative data are lacking to substantiate this claim, and the characteristics of individuals who receive the transfusion have not been well described. Aim and Objective: The main objective of the study was to assess the utilization pattern of blood and blood components and to assess their demand and supply in blood bank of MGM hospital, Warangal. Material and Methodology: The data collection form was exclusively designed for data collection and entry. The analysis was done using MS-Access 2010 and Microsoft excel 2010. The statistical analysis was performed using SPSS22.0 P ≤ 0.05 as level of significance. Results and Discussion: Most of the donors were found to be males (95%) of which O positive 1077(40%) were high in number. 23 infected donations were found in 2684 donations and were excluded from out study population. Age group of 20-29 were the highest donors and also the receptors. 2661 donations were supplied as 3225 units to 2223 patients, 2 unit transfusions was done in 481(21.6%) patients >2 transfusions was found in 197(8.85) patients. Highest number of requisitions were from general medicine ward and most indication was anemia (Includes various causes that may result in anemia, major being nutritional anemia) among which Females were most suffering group with anemia. There was no significant difference found between the average mean of donations per day (32.91 ± 11.65) and average issues per day (28.92 ± 60.19) at p<0.5333. When the replacements and unsupplied units were considered the blood bank was able to supply only 85% of the requests and was falling short of supplies. Conclusion: Periodic review of blood usage pattern is very essential in MGM hospital. Implementing a transfusion committee is essential for checking the appropriateness of transfusion.
Highlights
Introduction and BackgroundBlood transfusion is the pervasive form of tissue transplant performed day to day in the process of life saving in situations like severe anemia, trauma, and surgery
Periodic review of blood usage pattern is very essential in Mahatma Gandhi Memorial (MGM) hospital
The imbalance in the demand and supply could be corrected by doing the following things: Increasing the supply a) The study stated that only 45 (2%) of the requests were unsupplied by the blood bank but, 15% of the requests were found to be unsupplied when the replacements were included clearly showing low supplies
Summary
Blood transfusion is the pervasive form of tissue transplant performed day to day in the process of life saving in situations like severe anemia, trauma, and surgery. We should keep in mind that there should be an apt indication for ordering blood components as there is unnecessary exposure of the recipient to various infectious and noninfectious complications and avoid misuse. Various strategies have been developed to reduce the inappropriate use of blood components. These include guidelines and consensus conferences as well as monitoring of transfusion practice, education, and self-audit by clinicians [5,6,7,8]. Most patients of Mahatma Gandhi Memorial (MGM) Hospital receive blood transfusion from MGM Blood Bank, but representative data are lacking to substantiate this claim, and the characteristics of individuals who receive the transfusion have not been well described
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