Blood utilisation in a developing society: what is the best index of efficiency?

Charles, K. S.; Freitas, Loren De; Ramoutar, R.; Goolam, R.; Juman, Solaiman; Murray, Donette; Jhingai, R.; Chantry, Andrew D.

doi:10.1111/tme.12534

Cited by 4 publications

(3 citation statements)

References 20 publications

(29 reference statements)

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“…A value of 0.5 or higher for TI and a value of 30% and above for T% have been suggested as appropriate blood usage (12,13). Nonusage probability (NUP) and wastage as a percentage of an issue (WAPI) are two newer indicators defined to improve blood consumption (14,15).…”

Section: Introductionmentioning

confidence: 99%

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Maximum Surgical Blood Ordering Schedule in Common Pediatric Cardiac Surgeries in a Tertiary Center

Sotoudeh Anvari,

Hashemi,

Mirzaaghayan

et al. 2023

Iran J Pathol

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Scan to discover onlineBackground & Objective: Unnecessary pre-operative ordering of red blood cells (RBCs) in elective surgeries increases costs and waste of blood inventory. Maximum surgical blood order schedule (MSBOS) is a helpful strategy in the estimation of blood units needed for surgery and the prevention of overconsumption. In this study, an MSBOS for pediatric cardiac surgeries is designed. Methods:In this cross-sectional study, we included all pediatric patients who underwent elective cardiac surgery in Children's Medical Center in Tehran, Iran, from March 21, 2019, to September 22, 2019. Data consisted of the type of surgery and the number of blood units transfused and units cross-matched, based on which cross-match to transfusion ratio (CTR), the transfusion index (TI), and transfusion probability (T%) were calculated.Results: Overall 205 pediatric patients were included in the study. Four hundred and ten RBCs units were cross-matched, and 262 were transfused. The overall results of the CTR, T%, and TI for all the eight types of cardiac surgery were 1.56 (410/262), 76% (157/205), and 1.28 (262/205), respectively. The raw MSBOS for cardiac surgeries included ventricular septal defect, tetralogy of fallot, dextro-transposition of the great arteries, atrial septal defect, aortic coarctation, patent ductus arteriosus, pulmonary stenosis, and pacemaker insertion, which were 1.58, 1.03, 1.54, 1.66, 0.77, 0, 1.25, and 0 unit, respectively, and the figures were rounded up. Conclusion:Accurate MSBOS protocols reduce cross-match workload in laboratories, lead to the appropriate use of blood stocks with less wastage, save human and economic resources, and eventually, promote patient safety.

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Section: Introductionmentioning

confidence: 99%

“…Non-use probability (NUP) is the total units not transfused/total units requested. High NUP indicating inefficient blood usage, and NUP decreases as the blood-ordering practice improve (15).…”

Section: Introductionmentioning

confidence: 99%

Maximum Surgical Blood Ordering Schedule in Common Pediatric Cardiac Surgeries in a Tertiary Center

Sotoudeh Anvari,

Hashemi,

Mirzaaghayan

et al. 2023

Iran J Pathol

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“…Each credit could be converted to a 'chit' in the name of a patient of the donor's choice. An attempt to convert existing donors to VNRD failed in 2011 [12][13][14]. Although prohibited by law, the practice of secretly paying professional donors to pose as FRDs is long-standing and has become a subjective norm [15].…”

Section: Introductionmentioning

confidence: 99%

Emotions and beliefs arising from replacement blood donation may hinder transitioning to exclusive voluntary non‐remunerated blood donation

Charles

Harrilal

Singh

et al. 2021

ISBT Science Series

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Background and objectives For many developing countries, achieving exclusive voluntary non-remunerated blood donation requires converting an existing pool of family replacement donors consisting of individuals recruited by health professionals and persons they recruited. This study was done to evaluate emotions and beliefs in these two groups and their effect on future blood donor intentions.Materials and methods Cross-sectional, descriptive, questionnaire-based surveys were administered by two medical student research groups. Survey 1 assessed persons recruited by health professionals to serve as or recruit replacement donors and Survey 2, individuals recruited by patients or their relatives to be replacement donors. ResultsThe majority of Survey 1 participants experienced negative emotional reactions to being asked to solicit and actually asking persons to serve as family replacement donors (72Á3% and 50Á2%, respectively). The proportion that would serve as a replacement donor increased from 55Á9% to 74Á1% (P < 0Á001). Among Survey 2 participants, 61% (P < 0Á001) would more willingly donate blood if directly approached by the person in need. ConclusionEmotions and beliefs arising from family replacement donation encouraged future replacement donation intention.

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A university – Led initiative to promote voluntary non-remunerated blood donation in a developing country

Charles

Friday

Lall

et al. 2019

Transfusion and Apheresis Science

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Blood utilisation in a developing society: what is the best index of efficiency?

Abstract: NUP was the most sensitive measure of efficiency. C/T ratio, T% and T must be interpreted in the context of the blood donation system. An internationally accepted value of NUP that equates to efficient blood use should be adopted.

Cited by 4 publications

References 20 publications

Maximum Surgical Blood Ordering Schedule in Common Pediatric Cardiac Surgeries in a Tertiary Center

Maximum Surgical Blood Ordering Schedule in Common Pediatric Cardiac Surgeries in a Tertiary Center

Emotions and beliefs arising from replacement blood donation may hinder transitioning to exclusive voluntary non‐remunerated blood donation

A university – Led initiative to promote voluntary non-remunerated blood donation in a developing country

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