[Investigation of the status of perioperative blood transfusion in grade III-A general hospitals in Zhejiang province].
OBJECTIVE
To investigate the situation of perioperative blood transfusion in Grade III-A hospitals in Zhejiang province, in order to provide statistics for improving appropriateness of blood transfusion.


METHODS
The questionnaire was conducted in 9 Grade III-A hospitals in Zhejiang province according to "The Technical Criterion of Clinical Blood Transfusion". The data including total quantity, whole blood and component blood transfusion in 2007 were analyzed.


RESULTS
Among 19 102 cases, the percentage of component blood transfusion was 99.3%, but 44.1% transfusion is conducted just according to doctors' experience without any medical indication, including 603 patients not re-examining the level of Hct or Hb in 72 h after operation. For the patients with complete transfusion record, the irrational rate of whole blood, RBC and platelet transfusion were 39.2%, 39.2%, 43.7%, the mainly reason was the relax demand on the transfusion indication.


CONCLUSIONS
Although Grade III-A hospitals in Zhejiang did fairly well in perioperative blood component transfusion, there are still some seriously unreasonable phenomenons. Every medical organization should pay more attention to improve the quality of clinical blood transfusion.
Yao
Yuan-yuan
YY
Department of Anesthesiology, Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310009, China.
Wang
Hai-ying
HY
Zhu
Sheng-mei
SM
Huang
Chang-shun
CS
Li
Jun
J
Lou
Jing-zhi
JZ
Peng
Cong-bin
CB
DU
Guang-sheng
GS
Wang
Wei-xing
WX
Sun
Jian-liang
JL
Yan
Min
M
D016913:Blood Component Transfusion / Q000706:statistics & numerical data; D001803:Blood Transfusion / Q000706:statistics & numerical data*; D006786:Hospitals, Urban; D006801:Humans; D013514:Surgical Procedures, Operative / Q000706:statistics & numerical data