Analysis And Reason For Discard Of Blood Products: A Retrospective Study In A Tertiary Care Hospital Blood Bank From Parul Sevashram Hospital, Vadodara.

Abstract

Background: A life-saving procedure is a blood transfusion, but there is often a shortage in blood supply due to various factors. Despite the enormous advancements in medical research, there is still no substitute for blood, making blood transfusions a crucial component of contemporary healthcare. The study aimed to evaluate the discard reasons for blood components, particularly Fresh Frozen Plasma, Platelet Concentration, and Red Cell Concentration and to suggest possible strategies to reduce wastage. Methods: The Retrospective analysis of discarded blood components was carried out from July, 1st 2023 to December 31st 2023 in the blood bank of Parul Sevashram. Data was collected using a discard register and computer data of discard available in blood bank and was analysed in SPSS software version 26.0 and Microsoft Excel. The wastage rate was calculated with a percentage of total number of units wastage against the total number of collections. Results: A total of 4990 blood component were prepared out of which 706 blood component was discarded. The total discard ratio of the study was 14.14%. Total replacement donors were 83.91% and 16.31% were voluntary donations. The discard rate for PC, RCC, and FFP was 86.30%, 6.82%, and 2.01%. HbsAg was the most common reason for the discard due to seropositivity of TTIs. Conclusion: The Most common component discarded was platelet and the reason for discard was the date of expiry due to non-utilization. Seropositivity was the reason for discarding red cell concentration and leakage was the most common reason for fresh frozen plasma. The wastage can be reduced by implementing proper strategies such as FIFO policy, avoiding Mega camps, proper staff training and wastage reduced protocol.