Haseeb Khan Sana, Ahmed Khan Haseeb, Ijaz Bhatti Muhammad, Mudasir Khan Muhammad
Pathology and Laboratory Medicine, Gulab Devi Hospital, Al-Aleem Medical College, Lahore, PAK.
Rheumatology, Gulab Devi Hospital, Al-Aleem Medical College, Lahore, PAK.
Cureus. 2022 Jan 30;14(1):e21728. doi: 10.7759/cureus.21728. eCollection 2022 Jan.
Background Blood transfusion plays a vital role in medical practice. Evaluation of blood utilization in a blood bank is a crucial step in good transfusion practice. It is the inception towards assessing the present and future demands for blood and also avoiding unnecessary transfusions. Methods Retrospective analysis of one-year data, available in the blood bank of Gulab Devi Hospital Lahore, was done to study blood transfusion practice. Issue registers were accessed to retrieve the required information such as gender, age, blood group, pre-transfusion Hemoglobin level, ward, clinical diagnosis, and indication for the transfusion. The data was analyzed using SPSS version 20 software. Frequency and percentages were used to summarize categorical demographics and clinical variables. Results A total of 1181 units were requested from the hospital during our study period. Majority of the requests were for the female patients (69%) of the reproductive age group (21 to 30 years). Blood group B positive was most frequent in our study population. Maximum requests were from reproductive health departments (39.9%). Surgery was the major diagnostic category to require blood transfusions (31.8%). Elective surgery constituted the major indication requiring blood transfusion at our hospital (41.3%). Conclusion Blood utilization patterns vary significantly within geographical regions, hospital to hospital, and according to clinical practices as well as patients' clinical findings. Moreover, diseases burden, level of organization, and advancement of healthcare facilities in various settings contribute to the significant contrast in blood utilization trends.
背景 输血在医学实践中起着至关重要的作用。评估血库中的血液使用情况是良好输血实践中的关键一步。这是评估当前和未来血液需求以及避免不必要输血的开端。方法 对拉合尔古拉布·德维医院血库中一年的数据进行回顾性分析,以研究输血实践。查阅发放记录以获取所需信息,如性别、年龄、血型、输血前血红蛋白水平、病房、临床诊断和输血指征。使用SPSS 20版软件对数据进行分析。频率和百分比用于总结分类人口统计学和临床变量。结果 在我们的研究期间,医院共申请了1181单位血液。大多数申请来自育龄组(21至30岁)的女性患者(69%)。B型阳性血在我们的研究人群中最为常见。最大申请量来自生殖健康部门(39.9%)。手术是需要输血的主要诊断类别(31.8%)。择期手术是我院需要输血的主要指征(41.3%)。结论 血液使用模式在不同地理区域、不同医院之间以及根据临床实践和患者临床检查结果存在显著差异。此外,不同环境中的疾病负担、组织水平和医疗设施的先进程度导致了血液使用趋势的显著差异。