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The Utility of ABO Testing in Pediatric Patients Undergoing Elective Surgery

Min Seob Kim1, Sanghyun Ahn1, Eun-Jin Chung2

  • 1Department of Surgery, Seoul National University Hospital, Seoul 03080, Korea.

Journal of Clinical Medicine
|September 5, 2019
PubMed

Insights

Routine ABO/Rh typing and screening for pediatric elective surgery varies significantly. A tailored approach to blood testing can improve patient comfort and reduce costs.

Area of Science:

  • Transfusion Medicine
  • Pediatric Surgery
  • Clinical Pathology

Background:

  • Elective surgery patients often receive routine ABO/Rh type and screening for transfusion needs.
  • Some institutions mandate double verification of ABO/Rh type.
  • Clinical practice patterns for ABO/Rh type and screening in pediatric elective surgery patients were evaluated.

Purpose of the Study:

  • To assess the variability in performing ABO/Rh type and screening tests in pediatric patients undergoing elective surgery.
  • To analyze the frequency of ABO/Rh testing and packed red blood cell (pRBC) utilization.
  • To identify trends in testing practices over time and across surgical departments.

Main Methods:

  • Retrieved electronic medical records for pediatric patients undergoing elective surgery from June 2006 to June 2010.
  • Analyzed the frequency of ABO/Rh type and screening tests performed.
  • Examined the incidence of pRBC requests and dispatches from the blood bank, stratified by year and surgical department.

Main Results:

  • ABO/Rh type and screening was performed in 32.2% of 23,631 pediatric patients; pRBC was dispatched in 37.9% of those tested.
  • Testing incidence varied widely (1.5%–97.9%) across and within surgical departments, depending on surgical procedure.
  • A decreasing trend in ABO/Rh type and screening incidence was observed over the study period.

Conclusions:

  • Significant variability exists in the incidence of ABO/Rh type and screening among and within surgical departments for pediatric elective surgery.
  • Current practices suggest a lack of standardized protocols for blood typing and screening in this population.
  • A personalized, tailored approach to transfusion testing may enhance patient comfort and optimize healthcare costs.
Abstract

Keywords:
ABO/Rhpediatric anesthesiatransfusion

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