Distribution of ABO blood group in surgical patients at a tertiary hospital in rivers state, Nigeria

Abstract

The significance of determining the distribution of blood group of patients prior to surgical procedures cannot be over-emphasized. This is because surgical patients may need blood transfusion pre-operatively, intra-operatively or post-operatively. The distribution of ABO blood group varies in different regions of the world. Aim: To determine the distribution of ABO blood group in surgical patients at the Rivers State University Teaching Hospital (RSUTH). Method: This was a one-year retrospective study of Surgical patients (Surgery and Obstetrics/Gynaecology departments) of the RSUTH. The patients comprised of all the consecutive cases of the surgeries in these departments for the period under review. Ethical clearance was obtained from ethical committee of the Rivers State Hospital Management Board. Structured profoma was used to extract information from patients’ case notes and analyzed using SPSS version 25. Result: A total of 370 patients were attended to pre-operatively. There were 146 (39.5%) males and 224 (60.5%) females. The mean age was 31 years. The age range was 22 years to 56 years. One hundred and ninety four (52.4%) were obstetrics and gynaecological surgeries while 176 (47.6 %) were non-gynaecological surgeries. The commonest indication for surgery was caesarean representing 126 (34.1%) of the subject. The distribution of blood was as follows O 233 (63.0%), A 66 (17.8%), B 56 (15.1%), AB 15 (4.1%). Sex distribution of blood group O comprised of 140 (37.9%) females had blood O while 93 (25.1%) were males. Conclusion: Our study revealed the most prevalent blood group in surgical patients as blood group as O (63.0%) and the least prevalent blood group was blood group AB. The prime reason for ascertaining blood group especially in surgical patients is for transfusion of compatible blood when the need arises.

Prevalence of Rhesus negative blood group in surgical patients in a tertiary hospital in Rivers State, Nigeria

“…These findings were similar to the findings by Mohamud et al in Somalia. [1,2] The most common surgeries were among the obstetrics and gynaecology subjects and this may be one of the reasons why the commonest blood group from this study was found in the female subjects (37.9%) (see tables 1,5 and 6).…”

“…The Rhesus (Rh) antigen is found on the surface of human red blood cell (RBC) membrane. [1] The ABO system remain the most clinically significant blood group antigens on the red cell membrane. [1,2] This is important in obstetric practice including those involved in surgeries due to the fact that if the mother is RhD-negative and the fetus RhD-positive, she has potential capacity to form antibodies if exposed to fetal antigens, a process known as Rh-D sensitization.…”

“…[1] The ABO system remain the most clinically significant blood group antigens on the red cell membrane. [1,2] This is important in obstetric practice including those involved in surgeries due to the fact that if the mother is RhD-negative and the fetus RhD-positive, she has potential capacity to form antibodies if exposed to fetal antigens, a process known as Rh-D sensitization. [2][3][4] The distribution of ABO and Rh-D blood group varies in different populations (races, ethnic groups and also socioeconomic classes).…”

“…[4] Several studies have been conducted to ascertain the prevalence of ABO and Rh-blood groups in different populations and ethnic groups. [1][2] There has been several reasons for this; the importance of blood transfusion and organ transplantation, their application in genetic research, forensic pathology and anthropology and studying ancestral relationships of humans. [5] The peculiarity of certain studies including our studies to determine the prevalence of Rh-D negative blood group in surgical patients at the Rivers State University Teaching Hospital is important.…”