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Blood Component Utilization and Discard Patterns in Telangana, India: A Three-Year Retrospective Study.

Jeeth Rai1, Nirlipta Kumar Behera2, Manoj Kumar Gupta3

  • 1Department of Periodontology, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Sangli, IND.

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|January 23, 2026
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Summary
This summary is machine-generated.

Blood transfusion services in Telangana show efficient packed red cell use but high wastage of platelets and plasma. Increasing expiry-related waste necessitates better inventory and patient blood management strategies statewide.

Keywords:
blood bankplasmared blood cellsretrospectivetransfusion

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Area of Science:

  • Healthcare Management
  • Transfusion Medicine
  • Public Health

Background:

  • Blood transfusion services are critical for clinical care, demanding optimal blood component utilization for healthcare efficiency.
  • Wastage of blood components impacts resource availability and healthcare costs.
  • Understanding utilization and discard patterns is key to improving blood bank operations.

Purpose of the Study:

  • To evaluate statewide patterns of blood component requisition, utilization, and discard in Telangana.
  • To identify factors contributing to blood component wastage.
  • To assess component-specific and system-level inefficiencies.

Main Methods:

  • Retrospective observational study of records from 50 licensed blood banks in Telangana (Jan 2022-Dec 2024).
  • Analysis of data on requisition, cross-matching, issue, transfusion, return, and discard of Packed Red Cells (PRCs), Fresh Frozen Plasma (FFP), and Platelet Concentrates (PCs).
  • Calculation of key indicators: crossmatch-to-transfusion ratio (C/T), transfusion probability (%T), transfusion index (TI), utilization ratio, and discard ratio.

Main Results:

  • Overall utilization was 87.7% with a 12.3% discard rate, increasing annually.
  • Packed Red Cells (PRCs) showed high utilization (92.1%) and low discard (7.9%).
  • Fresh Frozen Plasma (FFP) and Platelet Concentrates (PCs) had lower utilization (~83%) and higher discard rates (16.9% and 17.0%). Expiry was the primary cause of waste.

Conclusions:

  • While red cell utilization is efficient, significant wastage of platelets and plasma persists in Telangana blood banks.
  • The rising trend in expiry-related discards requires urgent attention.
  • Improved inventory management, redistribution systems, and statewide patient blood management strategies are essential to reduce blood component waste.