ArticleAsian journal of transfusion science
Knowledge, attitude, and practice survey for patient blood management in India: An initiative by the special interest group of the Indian Society of Transfusion Medicine.
Article in Asian journal of transfusion science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
contextPatient blood management (PBM) is an evidence-based, multidisciplinary approach to optimizing transfusion practices. Despite its inclusion in global health agendas, implementation in India remains fragmented.
aimsThe aim of the study was to assess the knowledge, attitude, and practice of healthcare professionals regarding PBM in India and to identify barriers to its clinical implementation. SETTINGS AND
designThis was a cross-sectional, questionnaire-based online survey conducted nationwide under the aegis of the PBM special interest group of the Indian Society of Transfusion Medicine. SUBJECTS AND
methodsA structured and validated 26-item questionnaire was disseminated among healthcare professionals. Responses were collected on key PBM "components" including clinical thresholds, anemia management, surgical planning, and postoperative strategies. STATISTICAL ANALYSIS USED: Descriptive statistics were applied. Internal consistency was measured using Cronbach's alpha. Responses were categorized to highlight major trends and challenges.
resultsOut of 100 respondents, 78% were transfusion medicine specialists. While of respondents 97% acknowledged key predictors for transfusion decisions (e.g. hemoglobin, blood loss), 52% still preferred a liberal transfusion threshold of 10 g/dL, and 72% were willing to transfuse at ≥8 g/dL, which deviates from AABB guidelines. Major implementation barriers included stakeholder awareness gaps (55%), surgery delays due to PBM steps (42%), and perceived operation theatre underutilization (35%). Lack of time (73%) and test availability (69%) were less prominent challenges.
conclusionsThere is a disconnect between PBM awareness and actual clinical practice in India. Advocacy, cross-specialty engagement, and regionally inclusive strategies are needed to enable evidence-based PBM adoption.
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