سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Soleimanha, Mehran, haghighi, mohammad, Mirbolook, Ahmadreza, Sedighinejad, Abbas, Mardani-kivi, Mohsen, Naderi-nabi, Bahram, Chavoshi, Tahereh, Ghandili Mehrnoosh, Mehrnoosh. (1394). A Survey on Transfusion Status in Orthopedic Surgery at a Trauma Center. , 4(1), 70-74. doi: 10.22038/abjs.2016.5820
Mehran Soleimanha; mohammad haghighi; Ahmadreza Mirbolook; Abbas Sedighinejad; Mohsen Mardani-kivi; Bahram Naderi-nabi; Tahereh Chavoshi; Mehrnoosh Ghandili Mehrnoosh. "A Survey on Transfusion Status in Orthopedic Surgery at a Trauma Center". , 4, 1, 1394, 70-74. doi: 10.22038/abjs.2016.5820
Soleimanha, Mehran, haghighi, mohammad, Mirbolook, Ahmadreza, Sedighinejad, Abbas, Mardani-kivi, Mohsen, Naderi-nabi, Bahram, Chavoshi, Tahereh, Ghandili Mehrnoosh, Mehrnoosh. (1394). 'A Survey on Transfusion Status in Orthopedic Surgery at a Trauma Center', , 4(1), pp. 70-74. doi: 10.22038/abjs.2016.5820
Soleimanha, Mehran, haghighi, mohammad, Mirbolook, Ahmadreza, Sedighinejad, Abbas, Mardani-kivi, Mohsen, Naderi-nabi, Bahram, Chavoshi, Tahereh, Ghandili Mehrnoosh, Mehrnoosh. A Survey on Transfusion Status in Orthopedic Surgery at a Trauma Center. , 1394; 4(1): 70-74. doi: 10.22038/abjs.2016.5820

A Survey on Transfusion Status in Orthopedic Surgery at a Trauma Center

The Archives of Bone and Joint Surgery
مقاله 14، دوره 4، شماره 1، فروردین 2016، صفحه 70-74    اصل مقاله (309.45 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2016.5820
نویسندگان
Mehran Soleimanha1؛ mohammad haghighi* 2؛ Ahmadreza Mirbolook1؛ Abbas Sedighinejad2؛ Mohsen Mardani-kivi1؛ Bahram Naderi-nabi2؛ Tahereh Chavoshi2؛ Mehrnoosh Ghandili Mehrnoosh1
1Orthopaedic Research Center, Guilan University of Medical Sciences, Rasht, Iran
2Anesthesiology Research Center, Guilan University of Medical Sciences, Rasht, Iran
چکیده
 
Background: Increased costs and mortality associated with inappropriate blood transfusions have led to investigations about blood request and blood transfusion techniques. We investigated the transfusion status in patients who underwent orthopedic surgery in Poursina Hospital (Rasht, Iran) to optimizing blood usage and determine if a scheduled transfusion program for every orthopedic surgery could improve blood transfusion management.

Method: In this descriptive-prospective study, all orthopedic surgeries in Poursina Hospital, Rasht, between April to June 2013 were reviewed. All patient information was recorded, including: demographics, type of surgery, hemoglobin level, cross-match test, duration of surgery, and blood loss, and transfusion. Based on the one-way ANOVA and independent samples test analysis, cross-match to transfusion ratio and transfusion possibility, the transfusion index, and maximal surgical blood order schedule were calculated to determine blood transfusion status.

Results: Among 872 selected orthopedic surgery candidates, 318 of them were cross-matched and among those, 114 patients received a blood transfusion. In this study, the cross-match to transfusion ratio was 6.4, transfusion possibility 36.47%, transfusion index 0.6, and maximal surgical blood order schedule 0.9.

Conclusion: We found that blood ordering was moderately higher than the standard; so it is highly recommended to focus on the knowledge of evidence based on transfusion and standard guidelines for blood transfusion to avoid over-ordering.
کلیدواژه‌ها
Blood transfusion؛ Orthopedic surgery؛ Transfusion index؛ Transfusion possibility
مراجع
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