Investigation of blood transfusion status in six hospitals

Objective To understand the clinical blood transfusion status of medical institutions in the case of blood supply absence. Methods Use retrospective method to survey the situation of 3 907 cases and clinical blood transfusion of 6 hospitals in Chengdu and Yibin,2009 ~ 2011,including the annual growth rate of blood transfusion patients,the annual growth rate of blood transfusion volume,the growth rate of per capita blood transfusion volume,the proportion of different components of blood transfusion,and the unreasonable situation of different( level) hospitals,different departments' blood transfusion and the proportion of unreasonable blood infusion( composition),etc. And do statistical analysis on the collected data. Results The number of 6 hospitals transfusion patients: there is increased by 25. 7% in 2010 than in 2009( 14 175 /11 273),increase by 24. 7% in 2011 than in 2010( 17 674 /14 175). Blood transfusion volume: there is increased by 28. 3% in 2010 than in 2009( 26 562. 95 /20 700. 50),increase by 21. 9% in 2011 than in 2010( 32 384. 20 /26 562. 95); there is respectively increased by 40. 0%,17. 5% in second-class hospital and 26. 5%,22. 7% in third-class hospital. Per capita blood transfusion volume of patients: there is respectively 1. 84 U,1. 87 U,1. 83 U in 2009,2010 and 2011. The variety of clinical blood transfusion is red blood cell( 58. 7%),plasma( 38. 0%),platelet( 1. 4%),cold precipitation( 1. 1%) and whole blood( 0. 8%) in order. The proportion of unreasonable blood transfusion is different among different( level) hospitals and different departments. Orthopedic unreasonable transfusion cases accounted for 28. 0%( 74 /264),blood transfusion volume accounted for 23. 2%( 209 /901) of total unreasonable use,followed by general surgery,24. 0%( 330 /1 365). Unreasonable blood use varieties( amount) is cold precipitation 28. 3%( 1 665. 00 /5 881. 00),plasma18. 8%( 1 098. 25 /5 846. 39),whole blood 18. 2%( 36. 75 /202. 10),red blood cells 9. 6%( 1 214 /12 599) and platelets 4. 2%( 6. 00 /143. 25) in order. The median of blood transfusion volume is 4. 0 U among 3 907 patients. Conclusion Although medical institutions still exist unreasonable phenomenon,but the percentage is decline year by year. While the total number of clinical blood transfusion patients and blood transfusion volume is increasing rapidly,the per capita blood transfusion volume was declined. It shows that scientific and rational idea is strengthening in clinical blood use. The current medical blood tension is mainly due to the demand of clinical use is greater than blood services supply.