Abstract：
BACKGROUND: This study aimed to identify the blood transfusion rates for several surgical procedures in a single district general hospital and assess the value of preoperative blood type and antibody screen across all relevant surgical procedures. We hypothesized that there was an overuse of blood type and antibody screen in our general surgical population.
METHODS: A database containing transfusions of patients who underwent elective- or emergency surgery from January 2015 to September 2020 was matched to a database of preoperative type-and-screen performed in the same period. Registered procedures where the incidence of transfusion is deemed low were excluded. The included procedures were assessed for the intraoperative usefulness of type- and-screen testing.
RESULTS: In the included 68.892 surgeries, 36.134 (52.0%) blood samples were preoperatively tested for the blood type and screened for antibodies according to the hospital\'s routine. Overall 3.517 (5.1%) of surgeries had patients that received a transfusion in the perioperative period and 1.2% (n = 850) during the surgery.
CONCLUSIONS: Most surgeries had a very low incidence of transfusion. Despite this, type-and-screen tests were widely used. This suggests the need for a more focused pre-surgery type-and-screen approach, and a more data driven approach to local guidelines in collaboration with surgical specialties.
METHODS: A database containing transfusions of patients who underwent elective- or emergency surgery from January 2015 to September 2020 was matched to a database of preoperative type-and-screen performed in the same period. Registered procedures where the incidence of transfusion is deemed low were excluded. The included procedures were assessed for the intraoperative usefulness of type- and-screen testing.
RESULTS: In the included 68.892 surgeries, 36.134 (52.0%) blood samples were preoperatively tested for the blood type and screened for antibodies according to the hospital\'s routine. Overall 3.517 (5.1%) of surgeries had patients that received a transfusion in the perioperative period and 1.2% (n = 850) during the surgery.
CONCLUSIONS: Most surgeries had a very low incidence of transfusion. Despite this, type-and-screen tests were widely used. This suggests the need for a more focused pre-surgery type-and-screen approach, and a more data driven approach to local guidelines in collaboration with surgical specialties.
摘要：
背景：本研究旨在确定单个地区综合医院中几种外科手术的输血率，并评估所有相关外科手术的术前血型和抗体筛查的价值。我们假设在我们的普外科人群中过度使用血型和抗体筛查。
方法：将包含2015年1月至2020年9月接受择期或急诊手术患者输血的数据库与同期进行的术前分型和筛查数据库进行匹配。排除输血发生率低的注册程序。评估了所包括的程序的类型和屏幕测试的术中有用性。
结果：在包括的68.892例手术中，术前对36.134（52.0%）的血液样本进行血型检测，并根据医院常规筛查抗体。总共有3.517（5.1％）的手术患者在围手术期接受输血，在手术期间接受输血的患者为1.2％（n=850）。
结论：大多数手术的输血发生率非常低。尽管如此,类型和屏幕测试被广泛使用。这表明需要一种更集中的手术前类型和屏幕方法，以及与外科专业合作的更多数据驱动的本地指南方法。
方法：将包含2015年1月至2020年9月接受择期或急诊手术患者输血的数据库与同期进行的术前分型和筛查数据库进行匹配。排除输血发生率低的注册程序。评估了所包括的程序的类型和屏幕测试的术中有用性。
结果：在包括的68.892例手术中，术前对36.134（52.0%）的血液样本进行血型检测，并根据医院常规筛查抗体。总共有3.517（5.1％）的手术患者在围手术期接受输血，在手术期间接受输血的患者为1.2％（n=850）。
结论：大多数手术的输血发生率非常低。尽管如此,类型和屏幕测试被广泛使用。这表明需要一种更集中的手术前类型和屏幕方法，以及与外科专业合作的更多数据驱动的本地指南方法。
