Department of Pathology - Baguio General Hospital and Medical Center - Department of Health
January 1, 2019-December 31, 2021
Introduction: Scarcity of blood supply is a problem that arises in supplying the increased demand for this commodity. As bleeding is one of the most common presentations in gynecologic patients, a percentage of the demand for blood units comes from this department for treating their patients. In this institution, an inadequate knowledge of the surgical blood ordering policy may cause an increased demand and a decreasing supply of blood units. This study aims to compare and evaluate the efficiency of blood requisition and utilization for patients undergoing gynecologic surgery. Methodology: This is a cross-sectional study utilizing secondary data collection. A total of 325 elective gynecologic surgical patients aged 18 to 77 years old admitted from January 2019 to December 2021 were selected. Age, pre-operative hemoglobin, pre-operative diagnosis, type of surgery, RBC units requested, crossmatched and transfused were recorded and compared. CT ratios, transfusion probabilities and transfusion indices were computed from the data gathered. Results: Majority of the patients were between the ages of 38 and 47. 95% had more than hemoglobin levels of 9 g/dl only 3% had less than 7 g/dl. A total number of 293 red blood cell units were ordered, 292 were crossmatched and only 244 units were transfused. The overall mean number of units crossmatched was 1.12 with a total sum of 292 for the 261 surgical cases identified. Total abdominal hysterectomy had the highest %T and TI (100% and 1.67) while TAHBS had the lowest (66.67% and 0.67). Overall, all the surgeries showed ideal CT ratio values, transfusion probabilities and transfusion indices. Conclusion: The overall CTR, %T, and TI of gynecologic surgeries were 1.20, 85.82%, and 0.93, respectively which showed a significant and efficient use of red blood cell products.
1. Inocian, E , Ruelan, R . Utilization of Allogeneic Red Blood Cell Units in Elective Gynecologic SurgeriesCNU Journal of Higher Education 5, 94-111, 2011. Retrieved from:
2. Chowdhury, F , Akhter, S , Islam, A . Evaluation of Blood Transfusion Practices in Obstetrics and Gynecology in a Tertiary Hospital in BangladeshJournal of Bangladesh College of Physicians and Surgeons 34(1): 2016. Retrieved from:
3. Gupte, S C, Patel, F , Patel, P . Blood Transfusion Practice in Obstetrics and GynecologyAnnals of Saudi Medicine 22(5-6): 2002. Retrieved from:
4. Yazdi, A , Alipour, M , Jahanbakhsh, S . A Survey of Blood Request Versus Blood Utilization at a University Hospital in IranTHE ARCHIVES OF BONE AND JOINT SURGERY 4(1): 2016. Retrieved from:
5. Alcantara, J , Opiña, A , Alcantara, R . Appropriateness of Use of Blood Products in Tertiary HospitalsInternational Blood Research & Reviews 3(2): 2015