Analysis Of Clinical Blood Transfusion Between 2012 And 2014 In Our Hospital

Objective To investigate the rules, characteristics and current problems of clinical blood transfusion in our hospital by analyzing the situation between 2012 and 2014, and further to develop an effective allocation and management plan for blood resources through scientific, safe and reasonable use of blood as well as advanced technology so as to save blood resources.Methods A retrospective analysis was made of 20008 hospitalized patients. Statistical analysis was performed using SPSS19.00 software.Results ①The amount of blood transfusion during the past 3 years grew moderately year by year with the increase in the number of hospitalization. The highest rate of transfusion was found in the use of red blood cell (44.10%), and the others were plasma (34.99%),cryoprecipitate (14.88%), platelet (6.03%).②The total amount of blood transfusion, the cases receiving transfusion and the per capita transfusion volume of patients receiving transfusion were greater in male than in female. The difference in the gender of patients receiving transfusion was statistically significant. ③ The number of patients receiving transfusion was on the rise with the increase of age, with the patients over 60 years old having the highest rate (42.23%-45.18%).The difference was statistically significant.④The total amount of blood transfusion, the percentage of and the per capita transfusion volume of both inpatients and patients receiving transfusion were greater in the Department of Internal Medicine than in the Department of Surgery. The greatest amount of clinical blood consumption was found in the Departments of Hematology, Infection, Thoracic Surgery, Gastroenterology, and ICU/Emergency Department in our hospital, accounting for 51.29%-57.40%. Among these departments, blood was consumed the most in the Department of Hematology, accounting for 14.37%、16.45%、17.05% ,respectively, during the past 3 years. And transfusion of red blood cell and platelet in this department ranked the first in our hospital. The blood components consumed was different in different clinical departments. Red blood cell was most commonly used in the Departments of Hematology(50.06%-58.90%) and Gastroenterology(51.36%-55.11%),and plasma in the Department of Infection (63.26%-82.03%),ICU/Emergency (50.29%-55.48%)department and Department of Thoracic Surgery(53.86%-57.39%).⑤Regarding the total volume of blood transfusion, the largest proportion was found in Group 3-9 units. However, the proportion decreased in Group 1 unit and Group 3-9 units year by year, while increased in Group 2units and Group> 9 units。Conclusion The total consumption of blood in our hospital increased scientifically and reasonably at the speed of 4.04%-5.72%. Proper plans should be made based on previous cases in the Department of Blood Transfusion and the whole hospital to meet the demand for blood. In addition, based on the rules and characteristics of blood consumption, we can make further feasible management plans and focus on training and supervision of certain departments in our clinical work.