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Blood utilization in orthopedic and trauma practice.
Bader Kamal Tayara1, Moaad Hatim Al-Faraidy1, Faisal Abdullah Al-Sayel1
1Department of Orthopaedic Surgery, College of Medicine, King Fahd Hospital of the University, Al Khobar, Saudi Arabia.
Summary
Blood utilization in orthopedic and trauma surgery shows significant waste, with only 42-55% of requested blood products being used. Single-unit transfusions were common, deviating from transfusion best practices.
Area of Science:
- Orthopedic Surgery
- Transfusion Medicine
- Healthcare Management
Background:
- Limited understanding of blood product usage in orthopedic and trauma surgery.
- Absence of established policies for blood transfusion in these surgical fields.
Purpose of the Study:
- To audit current blood utilization practices within an orthopedic department.
- Identify discrepancies in blood product requests versus actual use.
Main Methods:
- Retrospective analysis of patient data from January 2011 to December 2012.
- Included patients admitted to orthopedic wards requiring blood products.
Main Results:
- 308 patients underwent surgery during the study period.
- Blood products were requested for 223 trauma surgeries.
- Utilization rates were 42.78% for elective orthopedic procedures and 55.25% for trauma surgeries.
Conclusions:
- Significant quantities of blood products are consumed in orthopedic and trauma surgeries.
- A major gap exists between requested and utilized blood products.
- Single-unit transfusions were frequently administered, contradicting established transfusion guidelines.
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