A rational blood-ordering policy for urology.
A retrospective study of blood-ordering patterns and blood use for elective urologic procedures was done. Only in a few surgical procedures, such as cystectomies, open prostatectomies, and nephrectomies, do the patients commonly receive blood transfusions. Blood is rarely used for a large number of other procedures. In such cases routine crossmatching of blood can be safely substituted by "type and screen." A guideline for preoperative blood-ordering is proposed that may substantially improve utilization of blood without jeopardizing patient care.
D001771:Blood Banks / Q000458:organization & administration*; D001788:Blood Grouping and Crossmatching; D001803:Blood Transfusion / Q000706:statistics & numerical data; D006801:Humans; D008145:Louisiana; D008297:Male; D012189:Retrospective Studies; D014570:Urologic Diseases / Q000601:surgery*