Survey of Maximum Blood Ordering for Surgery (MSBOS) in elective general surgery, neurosurgery and orthopedic surgery at the Poursina Hospital in Rasht, Iran, 2017

Introduction: Blood is a valuable life resource that depends on the donation of blood by the community. As a result, it is crucial that the manner in which this expensive resource is used be correct and reasonable. Objective: The purpose of this study was to investigate the Maximum Blood Ordering fo...

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Autores principales:	Moein Moghaddamahmadi, Hossein Khoshrang, Seyed Sepehr Khatami, Alireza Hooshmand Marvasti, Hoora Ghovvati Choshal, Simin Mehrkhah
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	MSBOS Cross-matched Blood units Diseases of the blood and blood-forming organs RC633-647.5
Acceso en línea:	https://doaj.org/article/accb5dbb903f4ecab4ce53747c44c988
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spelling	oai:doaj.org-article:accb5dbb903f4ecab4ce53747c44c9882021-11-04T04:37:24ZSurvey of Maximum Blood Ordering for Surgery (MSBOS) in elective general surgery, neurosurgery and orthopedic surgery at the Poursina Hospital in Rasht, Iran, 20172531-137910.1016/j.htct.2020.07.012https://doaj.org/article/accb5dbb903f4ecab4ce53747c44c9882021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2531137920302856https://doaj.org/toc/2531-1379Introduction: Blood is a valuable life resource that depends on the donation of blood by the community. As a result, it is crucial that the manner in which this expensive resource is used be correct and reasonable. Objective: The purpose of this study was to investigate the Maximum Blood Ordering for Surgery (MSBOS) in general, orthopedic and neurosurgical elective surgeries at the Poursina Hospital in Rasht in 2017. Methods: According to the patient file number information, such as gender, age, type of surgery, number of blood units requested, number of cross-matched blood units, number of blood units transfusion, number of patients undergoing transfusion, number of patients who were cross-matched, initial hemoglobin and the underlying disease, was extracted from the HIS (Hospital Information System). Based on the collected data, a descriptive report of the cross-match to transfusion ratio (C/T), transfusion index (TI) and transfusion probability (%T) was performed, using average and standard deviation, by using the SPSS 16. Results: In the present study, 914 patients from the neurosurgery, orthopedic and general surgery wards of the Poursina Hospital were studied. Of these, 544 were male (59.5%) and 370 were female (40.5%), aged 1–99 years, with a mean age of 43 years. The frequency distribution of C/T in this study was 1.29 in neurosurgery, 1.95 in orthopedic surgery and 1.96 in general surgery.This study indicated that the C/T index was above the normal standard level in four different kinds of surgery, including leg fracture (2.71), cholecystectomy(2.71), forearm fracture (2.70), and skin graft (2.62).The C/T index was at the maximum normal level in thyroidectomy surgery (2.5). The other surgeries had the normal C/T index. Conclusion: Overall, all of the MSBOS indices were at the standard level in this study, although C/T indices were higher than the standard level in the surgeries for cholecystectomy, leg fracture, forearm fracture, hand fracture and skin graft.Moein MoghaddamahmadiHossein KhoshrangSeyed Sepehr KhatamiAlireza Hooshmand MarvastiHoora Ghovvati ChoshalSimin MehrkhahElsevierarticleMSBOSCross-matchedBlood unitsDiseases of the blood and blood-forming organsRC633-647.5ENHematology, Transfusion and Cell Therapy, Vol 43, Iss 4, Pp 482-488 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	MSBOS Cross-matched Blood units Diseases of the blood and blood-forming organs RC633-647.5
spellingShingle	MSBOS Cross-matched Blood units Diseases of the blood and blood-forming organs RC633-647.5 Moein Moghaddamahmadi Hossein Khoshrang Seyed Sepehr Khatami Alireza Hooshmand Marvasti Hoora Ghovvati Choshal Simin Mehrkhah Survey of Maximum Blood Ordering for Surgery (MSBOS) in elective general surgery, neurosurgery and orthopedic surgery at the Poursina Hospital in Rasht, Iran, 2017
description	Introduction: Blood is a valuable life resource that depends on the donation of blood by the community. As a result, it is crucial that the manner in which this expensive resource is used be correct and reasonable. Objective: The purpose of this study was to investigate the Maximum Blood Ordering for Surgery (MSBOS) in general, orthopedic and neurosurgical elective surgeries at the Poursina Hospital in Rasht in 2017. Methods: According to the patient file number information, such as gender, age, type of surgery, number of blood units requested, number of cross-matched blood units, number of blood units transfusion, number of patients undergoing transfusion, number of patients who were cross-matched, initial hemoglobin and the underlying disease, was extracted from the HIS (Hospital Information System). Based on the collected data, a descriptive report of the cross-match to transfusion ratio (C/T), transfusion index (TI) and transfusion probability (%T) was performed, using average and standard deviation, by using the SPSS 16. Results: In the present study, 914 patients from the neurosurgery, orthopedic and general surgery wards of the Poursina Hospital were studied. Of these, 544 were male (59.5%) and 370 were female (40.5%), aged 1–99 years, with a mean age of 43 years. The frequency distribution of C/T in this study was 1.29 in neurosurgery, 1.95 in orthopedic surgery and 1.96 in general surgery.This study indicated that the C/T index was above the normal standard level in four different kinds of surgery, including leg fracture (2.71), cholecystectomy(2.71), forearm fracture (2.70), and skin graft (2.62).The C/T index was at the maximum normal level in thyroidectomy surgery (2.5). The other surgeries had the normal C/T index. Conclusion: Overall, all of the MSBOS indices were at the standard level in this study, although C/T indices were higher than the standard level in the surgeries for cholecystectomy, leg fracture, forearm fracture, hand fracture and skin graft.
format	article
author	Moein Moghaddamahmadi Hossein Khoshrang Seyed Sepehr Khatami Alireza Hooshmand Marvasti Hoora Ghovvati Choshal Simin Mehrkhah
author_facet	Moein Moghaddamahmadi Hossein Khoshrang Seyed Sepehr Khatami Alireza Hooshmand Marvasti Hoora Ghovvati Choshal Simin Mehrkhah
author_sort	Moein Moghaddamahmadi
title	Survey of Maximum Blood Ordering for Surgery (MSBOS) in elective general surgery, neurosurgery and orthopedic surgery at the Poursina Hospital in Rasht, Iran, 2017
title_short	Survey of Maximum Blood Ordering for Surgery (MSBOS) in elective general surgery, neurosurgery and orthopedic surgery at the Poursina Hospital in Rasht, Iran, 2017
title_full	Survey of Maximum Blood Ordering for Surgery (MSBOS) in elective general surgery, neurosurgery and orthopedic surgery at the Poursina Hospital in Rasht, Iran, 2017
title_fullStr	Survey of Maximum Blood Ordering for Surgery (MSBOS) in elective general surgery, neurosurgery and orthopedic surgery at the Poursina Hospital in Rasht, Iran, 2017
title_full_unstemmed	Survey of Maximum Blood Ordering for Surgery (MSBOS) in elective general surgery, neurosurgery and orthopedic surgery at the Poursina Hospital in Rasht, Iran, 2017
title_sort	survey of maximum blood ordering for surgery (msbos) in elective general surgery, neurosurgery and orthopedic surgery at the poursina hospital in rasht, iran, 2017
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/accb5dbb903f4ecab4ce53747c44c988
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Survey of Maximum Blood Ordering for Surgery (MSBOS) in elective general surgery, neurosurgery and orthopedic surgery at the Poursina Hospital in Rasht, Iran, 2017

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