ReviewBMC health services research2019
Efficiency of blood utilization in elective surgical patients.
Review in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 59 citations in OpenAlex.
- Is Cross-Matching Required? Analysis of Blood Transfusion in Gynecological Surgeries at an Academic Hospital in Bangkok, Thailand: A Cross-Sectional Study.Health science reports · 2026Article
- A comprehensive analysis of transfusion trends and patient outcomes in blood utilization practices at Jimma university medical center.Scientific reports · 2025Article
- Blood Utilization Review Using Transfusion Indices in a Tertiary Care Center: A Retrospective Observational Study.Cureus · 2025Article
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- The evaluation of patient blood management in lung resection under thoracotomy.Journal of cardiothoracic surgery · 2025Article
- Evaluation of the Factors Influencing Blood Transfusion during Minimally Invasive Direct Coronary Artery Bypass Surgery.Cardiology · 2025Article
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- Article
- Article
- Evaluation of patients' knowledge of warfarin at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.Metabolism open · 2022Article
- Economic impact of a machine learning-based strategy for preparation of blood products in brain tumor surgery.PloS one · 2022Article
- Assessment of Blood Transfusion Utilization and Patient Outcomes at Yekatit-12 Hospital, Addis Ababa, Ethiopia.Journal of blood medicine · 2022Article
- Article
- Enhancing the utilization of packed red blood cells stock in maternity hospitals.Saudi medical journal · 2020Article
- Article
- Preoperative cross-matching in major elective surgical procedures in children: An audit of department's transfusion practices.Asian journal of transfusion scienceArticle
- Implementing type and screen method replacing conventional antiglobulin crossmatch procedure for compatibility testing in elective protocol in a tertiary care hospital.Asian journal of transfusion scienceArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRequesting blood prior to a surgical procedure for perioperative transfusion is a common practice in surgical patients. More unit of blood is requested than used by anticipating the patient will be transfused to provide a safety margin in an event of unexpected haemorrhage. Over requesting with minimal utilization results in significant wastage of blood, reagents and human resource. This study was conducted to assess blood utilization practice of the largest tertiary hospital in Ethiopia.
methodsA cross-sectional prospective study method was used. Data was collected using a Proforma questionnaire by perusal of each individual patient's records from December 1, 2017 to February 28, 2018.patient age, sex, department requesting the blood, level of operating surgeon, hemodynamic status, number of unit requested, number of unit crossed matched and number of unit transfused were collected. Efficiency of blood utilization was calculated with three indices: Crossmatch to transfusion ratio, transfusion probability, and transfusion index indices.
resultsBlood was requested for 406 patients and a total of 898 units were crossmatched for this patients. Overall Crossmatch to transfusion ration, transfusion probability and transfusion index were 7.6, 15.3% and 0.29 respectively. Results showed insignificant blood usage. Among different departments and units, better blood utilization was seen in neurosurgical unit with C/T ratio, TP and TI of 4.9, 24.4 and 0.6% respectively, while worst indices were from obstetrics unit with C/T ratio, TP and TI of 31.0, 6.5% and 0.06.
conclusionUsing all the three parameters for evaluation of efficiency of blood utilization, the practice in our hospital shows ineffective blood utilization in elective surgical procedure. Blood requesting physician should order the minimum blood anticipated to be used as much as possible.
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