Volume : 7, Issue : 4, April - 2018

A COHORT STUDY OF DISTRIBUTION AND UTILIZATION OF BLOOD AND ITS COMPONENTS IN A TERTIARY CARE HOSPITAL

Shubham Misal, Dr D. S. Sarate, Dr. Gajanan G. Atram

Abstract :

<p class="MsoListParagraphCxSpFirst" style="margin-left:0in;mso-add-space:auto;&#10;text-align:justify;text-justify:inter-ideograph"><b><span style="font-size:&#10;12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:#141314;&#10;mso-bidi-language:MR">Introduction: </span></b><span style="font-size:12.0pt;&#10;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Blood and its components play an important role in different treatment practices.It is important to maintain a balance between the ongoing demand and supply. </span><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;color:#141314;mso-bidi-language:MR">Periodic review of blood component usage is very important to assess the blood utilization patterns in any hospital. It acts as a management tool for the appraisal and justification of appropriateness and efficacy of transfusion therapy ^[14].<b><o:p></o:p></b></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left:0in;mso-add-space:auto;&#10;text-align:justify;text-justify:inter-ideograph"><b><span style="font-size:&#10;12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:#141314;&#10;mso-bidi-language:MR">Aim:</span></b><span style="font-size:12.0pt;line-height:&#10;115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:#141314;mso-bidi-language:&#10;MR"><span style="mso-spacerun:yes">&nbsp; </span>A retrospective cohort study of distribution and utilization of blood and its components in a tertiary care hospital Akola, Maharashtra.<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left:0in;mso-add-space:auto;&#10;text-align:justify;text-justify:inter-ideograph"><b><span style="font-size:&#10;12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Materials and methods:</span></b><span style="font-size:12.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;"><span style="mso-spacerun:yes">&nbsp; </span>This is a retrospective cohort study carried out in blood bank of tertiary care centre, Akola, Maharashtra. The data was collected from issue and cross matching register of last 1 yr dating from 1^st August 2016 to 31^st June 2017. The period of study was 1 year. A month with number of units utilization nearest to the average of units utilized in the last year (1136) is selected as representative month for detailed analysis. October month with 1151 no. of units utilization was considered and analyzed.<span style="mso-spacerun:yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun:yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span style="font-size:12.0pt;&#10;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:#141314;&#10;mso-bidi-language:MR"><o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left:0in;mso-add-space:auto;&#10;text-align:justify;text-justify:inter-ideograph"><b><span style="font-size:&#10;12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Results:</span></b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><span style="mso-spacerun:yes">&nbsp; </span>Out of 605 recipients, 393 were female patients and 212 were male patients. Total no. blood units utilized in last 1 yr was 13638. About 1.86 units were transfused averagely per patient. In representative month (in this case month of October) whole blood (55%) was most commonly used blood product. PRBC (25%) was most utilized product among blood components. Most common indication was anemia and female patients received more blood products than male. Pre transfusion Hb also categorized according to blood products recipients. Age - sex relationships shows maximum recipients with age between 21-30 yrs in which 144 recipients were female and 44 were male recipients. <o:p></o:p></span></p> <p class="MsoListParagraphCxSpLast" style="margin-left:0in;mso-add-space:auto;&#10;text-align:justify;text-justify:inter-ideograph"><b><span style="font-size:&#10;12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Conclusion:</span></b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><span style="mso-spacerun:yes">&nbsp; </span>Trend of utilization of blood and its components is found which helps to reduce inappropriate use of it, avoids unwanted blood transfusion reaction and avails the deprived patients.<span style="mso-spacerun:yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun:yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span><o:p></o:p></span></p>