A rational approach to crossmatching blood for elective surgery

Anaesthesia and Intensive Care
A J DoddsJ C Biggs

Abstract

A group-and-screen system was introduced for selected surgical procedures to improve the cost-effectiveness of the hospital blood transfusion service. The mean crossmatch-transfusion ratio for eleven procedures was 11.1 but fell to 3.3 after the change. The overall crossmatch-transfusion ratio in the hospital improved from 2.7 to 2.2 (p less than 0.001) and blood wastage by expiry fell from 12% to 5% (p less than 0.02). The mean age of blood being transfused also improved slightly from 12.3 days to 10.4 days (p less than 0.001). No problems have arisen from the group-and-screen system to date. It has led to improvement in the efficiency and cost-effectiveness of the hospital blood bank and resulted in fresher blood being transfused.

References

Dec 1, 1979·The Medical Journal of Australia·R S SeshadriA A Morley
Nov 1, 1980·Transfusion·S T HuangG W Cole
Feb 1, 1981·The Australian and New Zealand Journal of Surgery·E Farmer, J M Ham
Jun 28, 1980·The Medical Journal of Australia·B O'NeillM Vernon

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Citations

Apr 1, 1992·The Australian and New Zealand Journal of Surgery·M P GianoutsosH Kronenberg
May 1, 1990·The Australian and New Zealand Journal of Surgery·M R KohnJ M Ham
Aug 1, 1987·The British Journal of Surgery·P C CliffordJ H Webster
Jul 27, 1985·British Medical Journal·P J Horsey
Aug 1, 1984·Anaesthesia and Intensive Care·A J Dodds, A Pun
Dec 17, 2003·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·C L FoleyD P J Barton

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