Evaluation Of Use Of Blood And Blood Components By Clinics At Düzce University Health Application And Research Center

Objective: Blood transfusion is equivalent to tissue transplantation, and is a life-saving treatment with many risks associated with it. The inability to reach blood and blood components at all times and the inadequate number of volunteer blood donors are important problems of our country's health. It is also very important to use it only when necessary, such as the origin of blood and blood components. This study was conducted to evaluate the use of blood and blood components according to clinics at Düzce University Health Application and Research Center. Methods: The data of patients who underwent blood transfusion in our hospital clinics between January and December 2016 were reviewed retrospectively. Results: Patients (n=2745) were included in the study. The number of blood components unit were 8749 and requested from the clinics for these patients; it was determined that 7341 (84%) units were used. Blood and blood components were found to be the most used in patients older than 65 years (4095/55.8%). It was seen that the most preferred blood component by clinics was erythrocyte suspension (4327/59%). Erythrocyte suspension, platelet suspension and cryoprecipitate were mostly used by internal clinics while whole blood and fresh frozen plasma were found to be the most used by surgical clinics. There was a difference between the number of blood component requests and usage of the clinics. It has been determined that the incidence of the number of erythrocyte suspension and fresh frozen plasma requests and usage numbers is higher in the surgeon clinics than in other clinics. Whole blood use was found to be extremely low in our hospital (41/0.55%). Conclusion: In some clinics, more blood components than used were requested. It is thought that detailed evaluation should be done at transfusion committee meetings because this situation causes unnecessary extermination in blood products