CLINICAL UTILIZATION OF RED CELL CONCENTRATES IN DIFFERENT CLINICAL DEPARTMENTS OF BANGABANDHU SHEIKH MUJIB MEDICAL UNIVERSITY, BANGLADESH

Dr. Shahanaj Parveen*, Dr. Farah Anjum Sonia, Dr. Mohammad Fatteh Ul Islam, Dr. Zia Uddin Ahmed, Dr. Marzia Mursafa, Dr. Iffat Ara Akbar and Dr. Atiar Rahman

ABSTRACT

Background: Blood and blood components for transfusion, is obtained from voluntary, non-remunerated blood donors, thus it should be utilized as considering it a limited and precious resource, and must be effectively managed and stocked. To ensure appropriate and optimum use of blood and blood products, monitoring blood utilization pattern in a hospital setting is very important and may contribute in effective management of blood stock to meet the existing and imminent transfusion demands in a hospital. Objective: This study was designed to determine clinical utilization of red cell concentrates in different clinical departments of a tertiary care hospital in Dhaka city. Methodology: This was a cross sectional observational study which was conducted at department of Transfusion Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka. To determine the supply of Red Cell Concentrate among the different departments of this university from July 2018 to June 2019. The supply of RCC to the different department was considered by requisition form meeting the inclusion criteria of patient. The demographic clinical and other data were collected by using check list as state at on the requisition form. The appropriate supply from RCC was statistical analysis was carried out using the statistical package for social sciences version 25. Result: Among the 21 departments of the hospital, and 1200 recipients, total 2408 units of red cell concentrate had been transfused during the study period which was almost double of the recipients. With 62.17% male and 37.83% female recipients, the highest percentage of recipients (30.08%) were in age group of under 20 years. The highest proportion of patients belong to the blood group B positive (44.33%) and the blood group O positive (43.17%). A total of 261 (21.7%) pediatric patients from 4 of the pediatric departments, and 939 (78.3%) other patients from other 17 departments received 331 (13.75%) and 2077 (86.25%) units of red cell concentrate respectively. The department of Hematology showed to use the highest proportion of red cell concentrates (40.68%). The department of Hematology and Otolaryngology and Head Neck Surgery recorded to use 3 units of red cell concentrate per recipient on average. Appropriate blood transfusion as per the predetermined criteria was done in all cases except in 1.33% cases. Conclusion: This study evaluates that the supply of red Cell Concentrate from Transfusion Medicine department is optimum for the utilization of various department as their patient demand. Available donors including donor list would sustain the optimum supply of Red Cell Concentrate as per demand of hospital setting.

Keywords: blood, blood components, blood products, red cell concentrate, appropriate use of red cell concentrate.