INCOMPETENCY OF CURRENT PRACTICE OF BLOOD ORDERING FOR ELECTIVE SURGERIES IN IMAM KHOMEINI AND SHAHID MOTAHARI HOSPITALS IN URMIA, DURING THE 2ND TRIMESTER OF 2007

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ABBASIVASH R.; AGHDASHI M.M.; HASSANI E.; SHIRVANI M.

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Journal: Studies in Medical Sciences Year:2010 | Volume:20 | Issue:4 Page(s): 302-306

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Title

INCOMPETENCY OF CURRENT PRACTICE OF BLOOD ORDERING FOR ELECTIVE SURGERIES IN IMAM KHOMEINI AND SHAHID MOTAHARI HOSPITALS IN URMIA, DURING THE 2ND TRIMESTER OF 2007

Author(s)

ABBASIVASH R. | AGHDASHI M.M. | HASSANI E. | SHIRVANI M. | Issue Writer Certificate

Keywords

TRANSFUSIONQ3

CROSS- MATCHQ3

ELECTIVE OPERATIONQ3

Abstract

Background & Aims: Frequently, blood units ordered and cross-matched for elective surgeries are not used. This study was designed to evaluate the current practice of blood ordering for elective surgeries in Imam and Motahari Hospitals in Urmia.Materials & Methods: In this cross sectional study, 895 patients underwent 29 different kinds of surgery during three months. The overall cross-mach to TRANSFUSION ratio, TRANSFUSION probability, and TRANSFUSION index were calculated. The same indices were calculated for each kind of surgery separately.Results: For 895 patients undergoing elective surgery, 1732 cross-matched blood units were ordered. Furthermore, 222 blood units out of 1732 were utilized for 144 patients in operation rooms. Overall cross-match to TRANSFUSION ratio and TRANSFUSION index was 7.8, and 0.25, respectively. With the exception of gastrectomy and debridement of thermal induced wounds, in remaining surgeries cross-match to TRANSFUSION ratio was significantly higher than acceptable value of 2.5. Highest TRANSFUSION indices were related to gastrectomy, esophagectomy and open reduction of leg fractures.Conclusion: The current practice of blood ordering for ELECTIVE OPERATIONs leads to significant deviation from standard values. Observance of scientific principles of blood ordering can lead to a decrease in unnecessary blood ordering, working pressure on blood bank, and wastage of blood units. It seems that the current pattern of preoperative blood ordering should be seriously reevaluated.

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APA: Copy

ABBASIVASH, R., AGHDASHI, M.M., HASSANI, E., & SHIRVANI, M.. (2010). INCOMPETENCY OF CURRENT PRACTICE OF BLOOD ORDERING FOR ELECTIVE SURGERIES IN IMAM KHOMEINI AND SHAHID MOTAHARI HOSPITALS IN URMIA, DURING THE 2ND TRIMESTER OF 2007. STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES), 20(4), 302-306. SID. https://sid.ir/paper/63616/en

Vancouver: Copy

ABBASIVASH R., AGHDASHI M.M., HASSANI E., SHIRVANI M.. INCOMPETENCY OF CURRENT PRACTICE OF BLOOD ORDERING FOR ELECTIVE SURGERIES IN IMAM KHOMEINI AND SHAHID MOTAHARI HOSPITALS IN URMIA, DURING THE 2ND TRIMESTER OF 2007. STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES)[Internet]. 2010;20(4):302-306. Available from: https://sid.ir/paper/63616/en

IEEE: Copy

R. ABBASIVASH, M.M. AGHDASHI, E. HASSANI, and M. SHIRVANI, “INCOMPETENCY OF CURRENT PRACTICE OF BLOOD ORDERING FOR ELECTIVE SURGERIES IN IMAM KHOMEINI AND SHAHID MOTAHARI HOSPITALS IN URMIA, DURING THE 2ND TRIMESTER OF 2007,” STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES), vol. 20, no. 4, pp. 302–306, 2010, [Online]. Available: https://sid.ir/paper/63616/en

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