Abstract
Background: Patients for elective operation often undergo routine ABO/Rh type and screening test for potential need of transfusion. Some institutions require double verification of ABO/Rh type. We evaluated the clinical practice pattern of performing ABO/Rh type and screening test in pediatric patients undergoing elective operation. Methods: Electronic medical records from pediatric patients who underwent elective surgery between June 2006 and June 2010 were retrieved. The frequency of ABO/Rh type and screening test and the incidence of packed red blood cell (pRBC) request and pRBC dispatch from the blood bank among those tested were analyzed by year and the surgical department. Results: Of the 23,631 patients, the incidence of ABO/Rh type and screening was 32.2%, and pRBC was dispatched in 37.9% of these patients. The incidence of ABO/Rh type and screening varied between 1.5% and 97.9% among surgical departments and also within the surgical departments depending on the type of surgery. The incidence of ABO/Rh type and screening showed a decreasing trend over the study period. Conclusions: There was significant variability among and within the surgical departments in the incidence of ABO/Rh type and screening in children undergoing elective surgery. A tailored approach may be beneficial to the patient in terms of comfort and cost.
Highlights
ABO/Rh type and screening is performed to prevent transfusion complications from incompatibility and other irregular antibodies [1] Preoperative ABO/Rh type and screening is often routinely performed in patients scheduled to undergo elective surgery with a potential need of transfusion [2,3].In the pediatric population, especially in younger children, drawing blood can be stressful for the child, and for parents and the provider performing the blood draw
The overall incidence of ABO/Rh type and screening test for pediatric patients undergoing elective surgery was 32.2%, and packed red blood cell (pRBC) was only dispatched in 37.9% of these patients
Our study shows the incidence of ABO/Rh testing and transfusion in a single pediatric hospital during the past 4 years
Summary
ABO/Rh type and screening is performed to prevent transfusion complications from incompatibility and other irregular antibodies [1] Preoperative ABO/Rh type and screening is often routinely performed in patients scheduled to undergo elective surgery with a potential need of transfusion [2,3].In the pediatric population, especially in younger children, drawing blood can be stressful for the child, and for parents and the provider performing the blood draw. Evaluation of the probability of blood transfusion for frequently performed surgical procedures is essential in order to reduce the number of unnecessary preoperative ABO/Rh type and screening. To this end, we evaluated the current practice of perioperative blood transfusion in the largest pediatric hospital in Korea. Patients for elective operation often undergo routine ABO/Rh type and screening test for potential need of transfusion. We evaluated the clinical practice pattern of performing ABO/Rh type and screening test in pediatric patients undergoing elective operation. Conclusions: There was significant variability among and within the surgical departments in the incidence of ABO/Rh type and screening in children undergoing elective surgery. A tailored approach may be beneficial to the patient in terms of comfort and cost
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