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

Authors

  • Abbas Sedighinejad Anesthesiology Research Center, Guilan University of Medical Sciences, Rasht, Iran
  • Bahram Naderi-nabi Anesthesiology Research Center, Guilan University of Medical Sciences, Rasht, Iran
  • Mehran Soleimanha Orthopaedic Research Center, Guilan University of Medical Sciences, Rasht, Iran
  • mohammad haghighi Anesthesiology Research Center, Guilan University of Medical Sciences, Rasht, Iran
  • Tahereh Chavoshi Anesthesiology Research Center, Guilan University of Medical Sciences, Rasht, Iran
Abstract:

  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.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

a survey on transfusion status in orthopedic surgery at a trauma center

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 co...

full text

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

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 cou...

full text

Influence of podiatry on orthopedic surgery at a level I trauma center.

Level I trauma centers frequently see trauma at or below the ankle, which requires consultation with the orthopedic surgery department. However, as podiatry programs begin to firmly establish themselves in more Level I trauma centers, their consultations increase, ultimately taking those once seen by orthopedic surgery. A review of the literature demonstrates that this paradigm shift has yet to...

full text

O7: Orthopedic Trauma Surgery in Germany-Influence on a Better Road Safety

Each year over 50 million humans are injured worldwide in traffic accidents (WHO). 1,200000 fatalities are registered at the same time. Everybody agrees, that we must fight against. Beside law enforcement, education, car technology and road construction a well organized rescue chain is mandatory, chain links are: Emergency call center (Europe TEL. 112), SAR system, Treatment in a competent hos...

full text

Complaints Related to Laparoscopic Surgery: a Survey of the Files Registered at Tehran Legal Medicine Center

Background and Objectives: Medical error/malpractice is becoming a global healthcare problem bringing ever increasing number of physicians before the courts, and posing significant costs to the health system. Statistical analysis of the nature of complaints can help identifying the most vulnerable medical practices and thereby guide development of preventive strategies. This study surveyed comp...

full text

Primary care management for isolated limb injury: referral to orthopedic surgery in a trauma center.

INTRODUCTION Musculoskeletal injuries affect up to 13% of adults annually. Despite this high incidence, quality of primary care, including analgesia, may be sub-optimal. The goal of this study is to describe the quality of primary care for ambulatory patients with isolated limb injury and to identify related factors. METHODS A cross sectional study was undertaken prospectively on 166 consecut...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 4  issue 1

pages  70- 74

publication date 2016-01-01

By following a journal you will be notified via email when a new issue of this journal is published.

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023