Effectiveness of Blood Request and Use During Surgery in Elective Patients of RSUD Dr. Soetomo’s Gedung Bedah Pusat Terpadu

Abstract

Background: Data from developing countries show that only forty to seventy percent of the total blood cells ordered for patients are transfused. In the Global Database on Blood Safety (GDBS) report published in 148 countries in 2011, the World Health Organization (WHO) estimated that of the total 96.4 million WB donations worldwide, approximately 5 million (5.2%) were wasted. In 2023, the Blood Transfusion Installation (ITD) of Dr. Soetomo Hospital received 34,047 units of blood (various blood types) from the Surgical Unit; 14,249 units of blood were handed over to clinicians to be given to patients. Methods: This retrospective descriptive study recorded preoperative blood filling data, both on-hand supplies and GSH for all elective surgeries performed at the Integrated Central Surgery Building (GBPT) of Dr. Soetomo Hospital. Soetomo from January to December 2023. Results: Of the 5411 study subjects, the C/T ratio was reported to be 0.92 ± 0.31, TI 0.59 ± 0.19, and %T 12.47 ± 7.24. The analysis showed that the C/T ratio and blood demand during surgery had a statistically significant relationship, with a P value of 0.043 and a Pearson correlation of 0.770, indicating a strong positive relationship. The P value of TI and %T against blood demand is 0.903 and 0.193, far above the limit of 0.05 which shows that the two indicators have no correlation with the amount of blood demand. Conclusion: Overall, the C/T ratio is a useful indicator for blood demand planning, while TI and %T showed a less clear relationship.