Estimation of Blood Utilization in Elective Surgeries to Formulate Maximum Surgical Blood Ordering Schedule for a Tertiary Care Center in North India
Background: Blood transfusion has an essential role in the resuscitation and management of patients undergoing surgical procedures. However, instances of incongruous blood ordering and usage have been reported worldwide, requiring an assessment of blood ordering patterns and addressing the gaps betw...
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| Published in | International journal of applied and basic medical research Vol. 15; no. 3; pp. 163 - 170 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
India
Wolters Kluwer - Medknow
01.07.2025
Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd |
| Edition | 2 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2229-516X 2248-9606 |
| DOI | 10.4103/ijabmr.ijabmr_89_25 |
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| Abstract | Background:
Blood transfusion has an essential role in the resuscitation and management of patients undergoing surgical procedures. However, instances of incongruous blood ordering and usage have been reported worldwide, requiring an assessment of blood ordering patterns and addressing the gaps between requisition and utilization through programs such as Maximum Surgical Blood Ordering Schedule (MSBOS).
Aim:
To estimate blood utilization, design a blood ordering schedule as a guide to normal transfusion needs for common elective surgeries and analyze the specialty-wise difference in blood transfusion indices.
Methods:
An observational and cross-sectional study was undertaken for 12 months. Fifty-two elective surgeries across eight different surgical specialties were analyzed, including Urology, Cardiothoracic Surgery, Gastrosurgery, Pediatric Surgery, Oncosurgery, Orthopedics, Obstetrics and Gynecology, and Otorhinolaryngology. Blood utilization indices - Cross-match to Transfusion Ratio (CTR), transfusion probability (%T), Transfusion Index, Blood Utilization%, NonUsage Probability, and Blood Ordering Quotient (BOQ) were calculated against standard blood usage to formulate the MSBOS using the Mead's criteria.
Results:
For 882 patients, 1160 packed red blood cells units were requested and cross-matched. Five hundred and seventy-four units were transfused. The nonutilization of 586 units (51%) suggested an indiscriminate ordering of blood. The nonusage of units cross-matched ranged from 27% to 100% in different specialties. The overall %T was 48.64%, varying from 13.23% in urological surgeries to 88.89% in cardiothoracic surgeries. The CTR ranged from 1.37 to 7.38, TI from 0 to 2.03, and BOQ from 0.92 to 1.36 in different specialties.
Conclusion:
Rationalizing blood usage is essential. Developing an MSBOS based on the findings would enhance the efficiency of blood utilization in elective surgeries. |
|---|---|
| AbstractList | Blood transfusion has an essential role in the resuscitation and management of patients undergoing surgical procedures. However, instances of incongruous blood ordering and usage have been reported worldwide, requiring an assessment of blood ordering patterns and addressing the gaps between requisition and utilization through programs such as Maximum Surgical Blood Ordering Schedule (MSBOS).
To estimate blood utilization, design a blood ordering schedule as a guide to normal transfusion needs for common elective surgeries and analyze the specialty-wise difference in blood transfusion indices.
An observational and cross-sectional study was undertaken for 12 months. Fifty-two elective surgeries across eight different surgical specialties were analyzed, including Urology, Cardiothoracic Surgery, Gastrosurgery, Pediatric Surgery, Oncosurgery, Orthopedics, Obstetrics and Gynecology, and Otorhinolaryngology. Blood utilization indices - Cross-match to Transfusion Ratio (CTR), transfusion probability (%T), Transfusion Index, Blood Utilization%, NonUsage Probability, and Blood Ordering Quotient (BOQ) were calculated against standard blood usage to formulate the MSBOS using the Mead's criteria.
For 882 patients, 1160 packed red blood cells units were requested and cross-matched. Five hundred and seventy-four units were transfused. The nonutilization of 586 units (51%) suggested an indiscriminate ordering of blood. The nonusage of units cross-matched ranged from 27% to 100% in different specialties. The overall %T was 48.64%, varying from 13.23% in urological surgeries to 88.89% in cardiothoracic surgeries. The CTR ranged from 1.37 to 7.38, TI from 0 to 2.03, and BOQ from 0.92 to 1.36 in different specialties.
Rationalizing blood usage is essential. Developing an MSBOS based on the findings would enhance the efficiency of blood utilization in elective surgeries. Blood transfusion has an essential role in the resuscitation and management of patients undergoing surgical procedures. However, instances of incongruous blood ordering and usage have been reported worldwide, requiring an assessment of blood ordering patterns and addressing the gaps between requisition and utilization through programs such as Maximum Surgical Blood Ordering Schedule (MSBOS).BackgroundBlood transfusion has an essential role in the resuscitation and management of patients undergoing surgical procedures. However, instances of incongruous blood ordering and usage have been reported worldwide, requiring an assessment of blood ordering patterns and addressing the gaps between requisition and utilization through programs such as Maximum Surgical Blood Ordering Schedule (MSBOS).To estimate blood utilization, design a blood ordering schedule as a guide to normal transfusion needs for common elective surgeries and analyze the specialty-wise difference in blood transfusion indices.AimTo estimate blood utilization, design a blood ordering schedule as a guide to normal transfusion needs for common elective surgeries and analyze the specialty-wise difference in blood transfusion indices.An observational and cross-sectional study was undertaken for 12 months. Fifty-two elective surgeries across eight different surgical specialties were analyzed, including Urology, Cardiothoracic Surgery, Gastrosurgery, Pediatric Surgery, Oncosurgery, Orthopedics, Obstetrics and Gynecology, and Otorhinolaryngology. Blood utilization indices - Cross-match to Transfusion Ratio (CTR), transfusion probability (%T), Transfusion Index, Blood Utilization%, NonUsage Probability, and Blood Ordering Quotient (BOQ) were calculated against standard blood usage to formulate the MSBOS using the Mead's criteria.MethodsAn observational and cross-sectional study was undertaken for 12 months. Fifty-two elective surgeries across eight different surgical specialties were analyzed, including Urology, Cardiothoracic Surgery, Gastrosurgery, Pediatric Surgery, Oncosurgery, Orthopedics, Obstetrics and Gynecology, and Otorhinolaryngology. Blood utilization indices - Cross-match to Transfusion Ratio (CTR), transfusion probability (%T), Transfusion Index, Blood Utilization%, NonUsage Probability, and Blood Ordering Quotient (BOQ) were calculated against standard blood usage to formulate the MSBOS using the Mead's criteria.For 882 patients, 1160 packed red blood cells units were requested and cross-matched. Five hundred and seventy-four units were transfused. The nonutilization of 586 units (51%) suggested an indiscriminate ordering of blood. The nonusage of units cross-matched ranged from 27% to 100% in different specialties. The overall %T was 48.64%, varying from 13.23% in urological surgeries to 88.89% in cardiothoracic surgeries. The CTR ranged from 1.37 to 7.38, TI from 0 to 2.03, and BOQ from 0.92 to 1.36 in different specialties.ResultsFor 882 patients, 1160 packed red blood cells units were requested and cross-matched. Five hundred and seventy-four units were transfused. The nonutilization of 586 units (51%) suggested an indiscriminate ordering of blood. The nonusage of units cross-matched ranged from 27% to 100% in different specialties. The overall %T was 48.64%, varying from 13.23% in urological surgeries to 88.89% in cardiothoracic surgeries. The CTR ranged from 1.37 to 7.38, TI from 0 to 2.03, and BOQ from 0.92 to 1.36 in different specialties.Rationalizing blood usage is essential. Developing an MSBOS based on the findings would enhance the efficiency of blood utilization in elective surgeries.ConclusionRationalizing blood usage is essential. Developing an MSBOS based on the findings would enhance the efficiency of blood utilization in elective surgeries. Blood transfusion has an essential role in the resuscitation and management of patients undergoing surgical procedures. However, instances of incongruous blood ordering and usage have been reported worldwide, requiring an assessment of blood ordering patterns and addressing the gaps between requisition and utilization through programs such as Maximum Surgical Blood Ordering Schedule (MSBOS). To estimate blood utilization, design a blood ordering schedule as a guide to normal transfusion needs for common elective surgeries and analyze the specialty-wise difference in blood transfusion indices. An observational and cross-sectional study was undertaken for 12 months. Fifty-two elective surgeries across eight different surgical specialties were analyzed, including Urology, Cardiothoracic Surgery, Gastrosurgery, Pediatric Surgery, Oncosurgery, Orthopedics, Obstetrics and Gynecology, and Otorhinolaryngology. Blood utilization indices - Cross-match to Transfusion Ratio (CTR), transfusion probability (%T), Transfusion Index, Blood Utilization%, NonUsage Probability, and Blood Ordering Quotient (BOQ) were calculated against standard blood usage to formulate the MSBOS using the Mead's criteria. For 882 patients, 1160 packed red blood cells units were requested and cross-matched. Five hundred and seventy-four units were transfused. The nonutilization of 586 units (51%) suggested an indiscriminate ordering of blood. The nonusage of units cross-matched ranged from 27% to 100% in different specialties. The overall %T was 48.64%, varying from 13.23% in urological surgeries to 88.89% in cardiothoracic surgeries. The CTR ranged from 1.37 to 7.38, TI from 0 to 2.03, and BOQ from 0.92 to 1.36 in different specialties. Rationalizing blood usage is essential. Developing an MSBOS based on the findings would enhance the efficiency of blood utilization in elective surgeries. Background: Blood transfusion has an essential role in the resuscitation and management of patients undergoing surgical procedures. However, instances of incongruous blood ordering and usage have been reported worldwide, requiring an assessment of blood ordering patterns and addressing the gaps between requisition and utilization through programs such as Maximum Surgical Blood Ordering Schedule (MSBOS). Aim: To estimate blood utilization, design a blood ordering schedule as a guide to normal transfusion needs for common elective surgeries and analyze the specialty-wise difference in blood transfusion indices. Methods: An observational and cross-sectional study was undertaken for 12 months. Fifty-two elective surgeries across eight different surgical specialties were analyzed, including Urology, Cardiothoracic Surgery, Gastrosurgery, Pediatric Surgery, Oncosurgery, Orthopedics, Obstetrics and Gynecology, and Otorhinolaryngology. Blood utilization indices - Cross-match to Transfusion Ratio (CTR), transfusion probability (%T), Transfusion Index, Blood Utilization%, NonUsage Probability, and Blood Ordering Quotient (BOQ) were calculated against standard blood usage to formulate the MSBOS using the Mead's criteria. Results: For 882 patients, 1160 packed red blood cells units were requested and cross-matched. Five hundred and seventy-four units were transfused. The nonutilization of 586 units (51%) suggested an indiscriminate ordering of blood. The nonusage of units cross-matched ranged from 27% to 100% in different specialties. The overall %T was 48.64%, varying from 13.23% in urological surgeries to 88.89% in cardiothoracic surgeries. The CTR ranged from 1.37 to 7.38, TI from 0 to 2.03, and BOQ from 0.92 to 1.36 in different specialties. Conclusion: Rationalizing blood usage is essential. Developing an MSBOS based on the findings would enhance the efficiency of blood utilization in elective surgeries. Keywords: Blood utilization%, cross-match to transfusion ratio, maximum surgical blood ordering schedule, transfusion index, transfusion probability Background: Blood transfusion has an essential role in the resuscitation and management of patients undergoing surgical procedures. However, instances of incongruous blood ordering and usage have been reported worldwide, requiring an assessment of blood ordering patterns and addressing the gaps between requisition and utilization through programs such as Maximum Surgical Blood Ordering Schedule (MSBOS). Aim: To estimate blood utilization, design a blood ordering schedule as a guide to normal transfusion needs for common elective surgeries and analyze the specialty-wise difference in blood transfusion indices. Methods: An observational and cross-sectional study was undertaken for 12 months. Fifty-two elective surgeries across eight different surgical specialties were analyzed, including Urology, Cardiothoracic Surgery, Gastrosurgery, Pediatric Surgery, Oncosurgery, Orthopedics, Obstetrics and Gynecology, and Otorhinolaryngology. Blood utilization indices - Cross-match to Transfusion Ratio (CTR), transfusion probability (%T), Transfusion Index, Blood Utilization%, NonUsage Probability, and Blood Ordering Quotient (BOQ) were calculated against standard blood usage to formulate the MSBOS using the Mead's criteria. Results: For 882 patients, 1160 packed red blood cells units were requested and cross-matched. Five hundred and seventy-four units were transfused. The nonutilization of 586 units (51%) suggested an indiscriminate ordering of blood. The nonusage of units cross-matched ranged from 27% to 100% in different specialties. The overall %T was 48.64%, varying from 13.23% in urological surgeries to 88.89% in cardiothoracic surgeries. The CTR ranged from 1.37 to 7.38, TI from 0 to 2.03, and BOQ from 0.92 to 1.36 in different specialties. Conclusion: Rationalizing blood usage is essential. Developing an MSBOS based on the findings would enhance the efficiency of blood utilization in elective surgeries. Background:Blood transfusion has an essential role in the resuscitation and management of patients undergoing surgical procedures. However, instances of incongruous blood ordering and usage have been reported worldwide, requiring an assessment of blood ordering patterns and addressing the gaps between requisition and utilization through programs such as Maximum Surgical Blood Ordering Schedule (MSBOS).Aim:To estimate blood utilization, design a blood ordering schedule as a guide to normal transfusion needs for common elective surgeries and analyze the specialty-wise difference in blood transfusion indices.Methods:An observational and cross-sectional study was undertaken for 12 months. Fifty-two elective surgeries across eight different surgical specialties were analyzed, including Urology, Cardiothoracic Surgery, Gastrosurgery, Pediatric Surgery, Oncosurgery, Orthopedics, Obstetrics and Gynecology, and Otorhinolaryngology. Blood utilization indices - Cross-match to Transfusion Ratio (CTR), transfusion probability (%T), Transfusion Index, Blood Utilization%, NonUsage Probability, and Blood Ordering Quotient (BOQ) were calculated against standard blood usage to formulate the MSBOS using the Mead’s criteria.Results:For 882 patients, 1160 packed red blood cells units were requested and cross-matched. Five hundred and seventy-four units were transfused. The nonutilization of 586 units (51%) suggested an indiscriminate ordering of blood. The nonusage of units cross-matched ranged from 27% to 100% in different specialties. The overall %T was 48.64%, varying from 13.23% in urological surgeries to 88.89% in cardiothoracic surgeries. The CTR ranged from 1.37 to 7.38, TI from 0 to 2.03, and BOQ from 0.92 to 1.36 in different specialties.Conclusion:Rationalizing blood usage is essential. Developing an MSBOS based on the findings would enhance the efficiency of blood utilization in elective surgeries. |
| Audience | Academic |
| Author | Gupta, Anshul Kaur, Yadwinder Kalra, Tamanna Kajal, Shiny Gupta, Saurabh Bansal, Nidhi |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40937030$$D View this record in MEDLINE/PubMed |
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Blood transfusion has an essential role in the resuscitation and management of patients undergoing surgical procedures. However, instances of... Blood transfusion has an essential role in the resuscitation and management of patients undergoing surgical procedures. However, instances of incongruous blood... Background: Blood transfusion has an essential role in the resuscitation and management of patients undergoing surgical procedures. However, instances of... Background:Blood transfusion has an essential role in the resuscitation and management of patients undergoing surgical procedures. However, instances of... |
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| SubjectTerms | Blood transfusion Blood transfusions Children Elective surgery Original Article Otolaryngology Surgery |
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| Title | Estimation of Blood Utilization in Elective Surgeries to Formulate Maximum Surgical Blood Ordering Schedule for a Tertiary Care Center in North India |
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