Study to assess maximum surgical blood ordering schedule in hip or knee arthroplasty at a tertiary center.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 150
- 试验地点
- 1
- 主要终点
- Pre-operative haemoglobin level
研究概览
简要总结
Overordering of blood has been a challenge faced by the blood bank staff1. The present study addresses the role of maximum surgical blood ordering schedule (MSBOS) in optimizing the blood inventory management. The reason behind the study is to determine the efficiency of blood ordering methods for hip or knee arthroplasty surgeries in Yenepoya medical college hospital. The increasing demand for blood and blood products together with rising cost is a major healthcare problem. Previous studies have indicated gross over ordering of blood much in excess of actual needs. There are two main reasons for over ordering of blood. First, is the growing real demand for blood. The second is that most of the surgeons and anesthesiologist over-order blood for specific recipients, because they are not sure about easy access to blood when it is needed. Therefore, it is held in reserved status for that person and will not be used for other patients. In practice, such blood may become outdated during reserved period, therefore it is essential to formulate a blood ordering system so that excessive or even unnecessary blood ordering is prevented. This study aims to assess the blood utilization in hip or knee arthroplasty surgeries and to formulate MSBOS. The term MSBOS has been used to describe a list of common elective surgeries with the maximum number of units of blood to be cross matched pre-operatively. This will not only prevent the wastage of blood but also decreases the cost and blood bank over loads.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •All patient aged between 18-65 years posted for hip or knee arthroplasty in whom, packed RBC request will be raised for the purpose of intra operative and post operative transfusion and resuscitation.
排除标准
- •Patient who underwent recent cardiac surgeries, gynecological and obstetric procedures, polytrauma in less than 3 months prior to the study
- •Patient who needed pre-operative blood transfusion for optimization for surgery (with hemoglobin less than 10 or hematocrit less than 30)
- •Patients who had ongoing blood losses in spite of adequate hematologic parameter (with hemoglobin more than 10 or hematocrit more than 30) 4.Deranged coagulation profile.
结局指标
主要结局
Pre-operative haemoglobin level
时间窗: 24hours
次要结局
- 1.To estimate the number of patients who underwent cross matching & number of PRBC units arranged for each patient.(2.To assess if there is any relation between the intraoperative blood loss, PRBC transfusion & PRBC reserved.)
研究者
Pragath Janardhan T
Yenepoya Medical College