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IJCRR. 2015; 7(22): 01-07


UTILISATION OF BLOOD COMPONENTS IN A TERTIARY CARE HOSPITAL

Mohammad Zubair Qureshi, Vijay Sawhney, Humiara Bashir, Meena Sidhu, Peer Maroof.

Abstract
Background: Transfusion of blood components such as Packed Red Cell (PRC), Fresh Frozen Plasma (FFP) and platelet concentrates
(PC) play an important role as a supportive therapy. This study was performed to study the utilisation and appropriateness
of blood components in clinical practice at a tertiary care hospital–based blood bank at GMC, Jammu.
Materials and Methods: A prospective analysis of blood components was conducted over a period of one year from November
2012 to October 2013. The usage of different types of blood component were recorded and correlated with the patient’s diagnosis
and indications for transfusion. The appropriate use of blood components were assessed by DGHS guidelines.
Results: Of the total 17634 units of blood components issued over a period of 1 year, 58.14% were Packed Red Cells (PRC),
29.43% were Fresh Frozen Plasma (FFP), 12.25% were Platelet Concentrate (PC) and 0.18% were Cryoprecipitate. The appropriate
use of Packed Red Cells was 90.33% whereas inappropriate use was 9.67%. Inappropriate use of PRC was mostly
seen in patients with minor bleeding without significant changes in hemoglobin level and in patients with asymptomatic chronic
anemia with Hb > 7g/dl. For Fresh Frozen Plasma 80.66% usage was appropriate and 19.34% were used inappropriately. Use of
FFP for volume expansion was the most frequent form of inappropriate use followed by cases of bleeding without derangement
of coagulation tests. For Platelet Concentrate 93.29% transfusions were utilized appropriately and 6.71% inappropriately. Inappropriate
use of PC was mostly seen in patients who had received platelets prophylactically with platelet count above 10,000/μl.
Conclusion: Periodic review of blood component usage is very important to access the blood utilization pattern and judicious
implementation of guidelines for use of blood components would decrease their inappropriate use.

Key words: Packed red cell, Platelet concentrates, Fresh frozen plasma, Appropriate



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