Utilization of cross-matched blood in elective thyroid and parathyroid surgeries: a single-center retrospective study

Utilization of cross-matched blood in elective thyroid and parathyroid surgeries: a single-center retrospective study

Hospital blood banks face the common challenge of maintaining an adequate supply of blood products to serve all potential patients while minimizing the need to discard expired blood products. This study aimed to determine the risk of blood transfusion during elective thyroid and parathyroid surgery...

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Bibliographic Details
Published in:International journal of general medicine Vol. 12; pp. 87 - 90
Main Authors: Alahmari, Abdulmajeed Fahad, Marzouki, Hani Z, Alsallum, Mohammed Saad, Subki, Ahmed Hussein, Merdad, Mazin
Format: Journal Article
Language:English
Published: New Zealand Dove Medical Press Limited 01-01-2019
Taylor & Francis Ltd
Dove Medical Press
Subjects:
Biological products
Blood banks
Blood products
Blood transfusion
Blood transfusions
cross-matching
Diabetes
Hemoglobin
Hospital costs
Hypertension
Medical research
Medicine, Experimental
Mortality
Original Research
Otolaryngology
parathyroid
Patients
Radiation therapy
Surgery
thyroid
Thyroid gland
Saudi Arabia
United States > US
cross-matched blood
parathyroid surgery
thyroid surgery
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Summary:Hospital blood banks face the common challenge of maintaining an adequate supply of blood products to serve all potential patients while minimizing the need to discard expired blood products. This study aimed to determine the risk of blood transfusion during elective thyroid and parathyroid surgery and potential factors related to blood loss and risk of transfusion in these cases. The study included all thyroid and parathyroid surgeries performed at King Abdulaziz University Hospital between January 2015 and December 2017. After exclusion of patients with incomplete data, 179 patients with complete data who had undergone thyroid and parathyroid surgery were analyzed. Of the179 patients included in this study, 33 (18.4%) were male. Overall, patients had a mean age and body-mass index of 44.55±13.67 years and 27.66±5.38 kg/m , respectively. The mean duration of surgery was 168.48±90.69 minutes. None of the patients had a history of previous radiotherapy, bleeding disorder, or blood transfusion. Benign goiter was the most common finding (n=78, 43.6%), followed by papillary carcinoma (n=49, 27.4%). During surgery, most patients (n=136, 76.0%) experienced minimal blood loss. None of the patients in our cohort (n= 179) required any blood transfusion or products. In this study, we aimed to audit the surgical blood-ordering and -transfusion practices associated with elective thyroid and parathyroid surgeries at our institution. These practices are intended to balance the availability of blood products with the avoidance of unnecessary wastage. In our study of patients who underwent elective thyroid and parathyroid surgeries, parathyroid surgeries, none required blood transfusion.
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ISSN:1178-7074
1178-7074
DOI:10.2147/IJGM.S170328