Monitoring Blood Utilization for Transfusion Services in a Tertiary Care Teaching Hospital: Evidence-Based Analysis

Abstract

Background: The provision of a timely adequate and safe supply of blood and blood products is the main duty of blood transfusions. To make the most possible use of this valuable resource, there has been a shift in the way that blood and blood components are used. Aim: This study aimed to analyse the utilization of whole blood and separated blood components such as PRBC, FFP, Platelets, RDP, and SDP to assess the utilization pattern, appropriateness and health outcomes of patients who received them. Methods: The study was carried out from the collected data of various inpatient departments of a tertiary care teaching hospital for the duration of years 2021 to 2024 in total VI phases of both Retrospective Phase-1 to Phase-5) and Prospective data (Phase-6) respectively with six months in each phase. Results: The results revealed that female patients utilized 51.79% and male patients utilized about 48.21% of the total of 1504 blood transfused samples which included whole blood and separated components. Among all VI phases, the most utilised component was PRBC 67.75%, the moderately used component was FFP 10.70%, the low-used components were Whole blood and Platelets 5.38%, and the least utilized components were RDP 3.92%. Conclusion: The most frequently used blood components were FFP and platelets. The highest transfusions of PRBC were observed among female patients. All findings revealed that the utilization of the Whole Blood and Components was appropriate based on the diagnosis with indications and resulted in positive health outcomes among the patients.