Parvez Ahmed, Abdul Bari Khan, Muhammad Dilawar, Asad Mahmood.
Blood Transfusion: A Retrospective study at Combined Military Hospital, Multan.
Pak Armed Forces Med J Jan ;50(2):76-80.

Appropriate use of blood transfusions remains variable among health-care institutions and patient populations. A study was carried out to evaluate current trends in the blood transfusion practices in Combined Military Hospital, Multan. 2754 patients were studied who received 3296 blood transfusions. Of the 2754 cases 40.2% were males, 59.8% females, 22.4% belonged to paediatric age group. There was significant difference (p<0.01) of age distribution among male and female patients. Pregnancy, its complications and Caesarian section were the most common indication (22.5%) for blood transfusion. 8% of the tranfusions were given for correction of nutritional anemia. Other indications included infections (7.7%), chronic real failure (4.6%), benign prostatic hyperplasia (3.5%), injuries (5.2%) and malignancies (2.7%). Incidence of transfusion reactions requiring termination of the blood transfusion was 0.6%. Over 85.5% patients received a single unit of blood, whereas only 3.2% received 3 or more units of blood. Most of the single unit blood transfusions were given to hemodynamicallly stable patients and a significant proportion of these represented unwarrented use of blood. There is need to develop consensus guidelines on blood transfusion and implement maximum surgical blood ordering schedule. Each institution may establish hospital transfusion committee to audit transfusion practices.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com