Platelet audit: To weigh the rationality between requirement and uses in blood transfusion

Smita Mahapatra, Gopal Krushna Ray, Rashmita Panigrahi, Debasish Mishra, Binay Bhusan Sahoo, Pankaj Parida


Background: Blood transfusion especially the transfusion of blood component is an important part for better patient management than whole blood transfusion. Despite various approved guidelines, non-compliance regarding rational use prevails in transfusion services.

Methods: In the present study; retrospective audit was conducted for a period of six months in the department of Transfusion Medicine, SCB Medical College and Hospital revealed on 3871 number of platelets prepared.

Results: Out of 3757 units of platelet issued, there was 10.9% group nonspecific platelet transfusion, 31% inappropriate platelet transfusion and 1.99% wastage.

Conclusions: The goal of transfusion service is to provide adequate number of safe blood components to the patient requiring this transfusion as per clinical guideline. This can be achieved by platelet audit which plays an important tool to reduce the inappropriate transfusion in patients, by improving the practice, in adherence to guidelines and focusing the areas of pitfall.


Audit, Blood, Platelet, Transfusion

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British Committee for Standards in Haematology, Blood Transfusion Task Force. Guidelines for the use of platelet transfusions. Br J Haematol. 2003;122:10-23.

Schiffer CA, Anderson KC, Bennett CL, Bernstein S, Elting LS, Goldsmith M, et al. Platelet transfusion for patients with cancer: Clinical practice guidelines of the American Society of Clinical Oncology. J ClinOncol. 2001;19:1519-38.

Guidelines for the appropriate use of blood. New Delhi: Ministry of Health and Family Welfare. Government of India; 1997. National AIDS Control Organization.

Nester T, Jain S, Poisson J. Hemotherapy Decisions and Their Outcomes: Technical Manual. 18th ed. Mark K. Fung: American Association of Blood Banks. 2014;20:508.

An action plan for blood safety. National AIDS Control Organization, Ministry of Health and Family Welfare. Government of India. 2003:10-1.

Hillyer CD, Silberstein LE, Ness PM, Anderson KC. Blood Banking and Transfusion Medicine. 2nd ed. Churchill Livingstone, New York.

Wallace EL, Churchill WH, Surgenor DM, Cho GS, McGurk S. Collection and transfusion of blood and blood components in the United States, 1994. Transfusion. 1998;38:625-36.

Freireich EJ. Supportive care for patients with blood disorders. Br J Haematol. 2000;111:68-77.

Lee EJ, Schiffer CA. ABO incompatibility can influence the results of platelet transfusions. Results of a randomized trial. Transfusion. 1989;29:384-9.

Heal JM, Rowe JM, McMican A, Masel D, Fuike C, Blumberg N. The role of ABO matching in platelet transfusion. Eur J Haematol.1993;50:110-7.