Blood ordering and utilization in hospitals of Bushehr province

Abstract

Cross over ordering of blood much in excess of actual or anticipated needs led to rising costs and transfusion associated morbidity. In order to reveal blood utilization, we evaluated blood ordering and transfusion practices in 437 cases in general surgery, obstetrics & gynecology , orthopedics, neurology and urology wards of different hospitals in Bushehr province using cross-match to transfusion ratio ( C/T ratio) and transfusion index ( TI ). The maximum (8.9) and minimum (1.2) ratios for C/T index were in obstetrics and gynecology and orthopedics wards, respectively. The maximum (1.85) and minimum (0.70) TI index were in orthopedics and obstetrics & gynecology wards, respectively. TI indices for general surgery and urology wards were 0.59 and 0.70, respectively. Therefore, blood ordering and transfusion practices in some wards of Bushehr hospitals, especially obstetrics and gynecology ward, should be reevaluated