{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T20:22:24Z","timestamp":1783023744979,"version":"3.54.6"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Effective utilization of perioperative blood transfusions can reduce costs and minimize blood waste. This study aimed to audit the appropriateness of current blood utilization practices in gynecological surgeries, characterize transfusion rates, and identify associated risk factors for transfusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A retrospective, cross\u2010sectional study was conducted from January 2021 to October 2023, involving 2394 patients who had perioperative blood requests and underwent gynecological surgeries in the Departmental Theatres at Ramathibodi Hospital. Patient characteristics and clinical profiles, particularly the quantities of packed red blood cells (PRC) requested and utilized, were reviewed. The appropriateness of blood utilization in gynecological surgeries was calculated using standard parameters, including the cross\u2010match\u2010to\u2010transfusion (C\/T) ratio, transfusion probability (TP), and transfusion index (TI). Descriptive, univariate, and multivariate analyses were employed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 2394 gynecological surgeries, 431 (18%) patients had cross\u2010matching requests, while only 113 (4.7%) were transfused. Appropriate blood utilization was revealed by indices, with a C\/T ratio of 2.43 and a TI of 0.60. 90.3% of transfusion events were administered in elective settings. Using univariable analysis, the data demonstrated that age, baseline hemoglobin, operative time, blood loss, previous abdominal surgeries, including myomectomy and endometriosis\u2010related surgeries, cardiovascular comorbidities, and current antiplatelet\/anticoagulant use were independently associated with perioperative blood transfusion. However, only three variables significantly remained on multivariable analysis, including baseline hemoglobin (adjusted odds ratio [aOR]: 0.608; 95% confidence interval [CI]: 0.519\u20130.709), operation duration (aOR: 1.004; 95% CI: 1.001\u20131.007), and blood loss (aOR 1.003; 95% CI: 1.003\u20131.004).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study reveals appropriate blood utilization in gynecological practices. Other than in cases of active hemorrhage or anticipated extensive surgery, routine cross\u2010matching may be unnecessary in elective low\u2010risk procedures. Tailored approaches are necessary for specific indications or procedures with a high likelihood of requiring blood transfusion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72086","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T11:38:44Z","timestamp":1774870724000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Is Cross\u2010Matching Required? Analysis of Blood Transfusion in Gynecological Surgeries at an Academic Hospital in Bangkok, Thailand: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7220-6361","authenticated-orcid":false,"given":"Chutima","family":"Topipat","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9798-8827","authenticated-orcid":false,"given":"Punyanuch","family":"Chulnoul","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Operating Room, Nursing Service Department, Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0377-1237(03)80139-9"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1537-2995.1976.16476247063.x"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000000338"},{"issue":"3","key":"e_1_2_14_5_1","first-page":"155","article-title":"Successful Implementation of Maximum Surgical Blood Order Schedule","volume":"78","author":"Lowery T. 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