EVIDENCE BASED CROSS-MATCH PROTOCOLS IN SPINAL SURGERY

Andrew Clarke; Michael O’Malley; James Hegarty; Brian JC Freeman

doi:10.1302/0301-620X.88BSUPP_II.0880221d

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EVIDENCE BASED CROSS-MATCH PROTOCOLS IN SPINAL SURGERY

Andrew Clarke
Michael O’Malley
James Hegarty
Brian JC Freeman

EVIDENCE BASED CROSS-MATCH PROTOCOLS IN SPINAL SURGERY

Clarke A, O’Malley M, Hegarty J, Freeman BJ. EVIDENCE BASED CROSS-MATCH PROTOCOLS IN SPINAL SURGERY. Orthop Procs. 2006;88-B(SUPP_II):221-221. doi:10.1302/0301-620X.88BSUPP_II.0880221d

Clarke, Andrew, et al. “EVIDENCE BASED CROSS-MATCH PROTOCOLS IN SPINAL SURGERY.” Orthopaedic Proceedings, vol. 88-B, no. SUPP_II, 2006, pp. 221-221., https://doi.org/10.1302/0301-620X.88BSUPP_II.0880221d

Clarke, A., O’Malley, M., Hegarty, J., & Freeman, B. J. (2006). EVIDENCE BASED CROSS-MATCH PROTOCOLS IN SPINAL SURGERY. Orthopaedic Proceedings, 88-B(SUPP_II), 221-221. https://doi.org/10.1302/0301-620X.88BSUPP_II.0880221d

Clarke, A., O’Malley, M., Hegarty, J. and Freeman, B. J. (2006) “EVIDENCE BASED CROSS-MATCH PROTOCOLS IN SPINAL SURGERY.” Orthopaedic Proceedings, 88-B(SUPP_II), pp. 221-221. Available at: https://doi.org/10.1302/0301-620X.88BSUPP_II.0880221d

Clarke, Andrew, Michael O’Malley, James Hegarty, and Brian JC Freeman. “EVIDENCE BASED CROSS-MATCH PROTOCOLS IN SPINAL SURGERY.” Orthopaedic Proceedings 88-B, no. SUPP_II (2006): 221-221. https://doi.org/10.1302/0301-620X.88BSUPP_II.0880221d

Clarke A, O’Malley M, Hegarty J, Freeman BJ. EVIDENCE BASED CROSS-MATCH PROTOCOLS IN SPINAL SURGERY. Orthop Procs. 2006 May 1;88-B(SUPP_II):221-221. https://doi.org/10.1302/0301-620X.88BSUPP_II.0880221d

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Abstract

Introduction Surgeons request cross-match based on habit not evidence. The spinal unit requested 686 units of blood during 2002–2003 and transfused only 42 for elective lumbar spine surgery. This wastes money, time and blood.

Aim Optimise the transfusion requests in elective lumbar spinal surgery by creating evidence based guidelines.

Methods The data on elective operations performed on the lumbar spine during the period June 2002 to June 2003 was collected from the spinal unit database and cross-referenced with the records of blood transfusion. Cross-match: Transfusion ratios (C:T Ratio) and Transfusion Index (TI) for common procedures were calculated. Based on these results, a Maximum Surgical Blood Ordering Schedule (MSBOS) was created and prospectively audited for six months.

Conclusion Eighty units were cross-matched during the prospective audit. Therefore, in one year one hundred and sixty units would be requested. This represents a reduction of over five hundred units.

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