The Status of Packed Red Blood Cell Transfusion in Besat Hospital of Hamadan in 2009-2010

Abstract Bachground and objectives: Higher than needed blood orders not only adversely affect blood quality but also impose extra expenses on treatment center and patients. We aimed at determining the frequency of packed red blood cell transfusion in Besat hospital of Hamadan in 2009-2010. Material and Methods: This was a descriptive study on 926 blood order forms in Besat hospital. The data were collected using forms, in Hamedan teaching hospital (Besat) from March 2009 to March 2010.The amount of blood order, blood consumption, crossmatch /transfusion ratio(C/T) and transfusion index (TI) in different wards of hospital. Results: Out of 926 patients aged averagely 28 years, 37%were females and 63% are males. The overall ratio of C/T and TI are 2.44 and 0/63, respectively which are considered to be optimal in comparison with the standard figures of C/T<2.5 and TI&ge;0.5.The results show that the highest C/T is in surgery ward and the lowest in burn ward, but the highest TI is related to Hematology ward and the lowest to urology ward. Conclusion: Packed cell consumption, C/T Ratio and TI in Besat hospitals is normal but not ideal. It seems that absence of hospital blood transfusion committees and lack of active contribution of physicians, are the major obstacles in reforming blood utilization. Key words: Packed cell, Crossmatch, Transfusion Index