{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:23:05Z","timestamp":1787840585306,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T00:00:00Z","timestamp":1713225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>AIMS:<\/jats:title>\n                    <jats:p>To determine the utilization of cross-matched packed red blood cell (PRBC) concentrate in children posted for major elective operative procedures. To evaluate the efficacy of a simple preoperative \u201cscreening criteria\u201d for ordering preoperative cross-match.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>Data were retrieved from online surgery scheduling system prospectively over a 4-month period (January\u2013April 2022). The number of units cross-matched and those utilized were assessed. A screening criterion was devised in consultation with stakeholders for ordering blood. The utilization of PRBCs was reassessed after implementation of these criteria and reaudited (July\u2013October 2022). A subset analysis of A1 (tunneled catheter placements) and A2 (core pediatric surgical procedures) groups was done to analyze blood utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Initial audit showed poor PRBC utilization with 46 units unused of the 54 cross-matched units, and most of these were from A1 group (3 of 29 units and 5 out of 25 units utilized in A1 and A2 groups, respectively). Reaudit after introducing cutoff criteria showed sharp decline (79.3%) in the number of cross-matched units and the number of units returned (84.6% decrease) in A1 group and the number of units returned unused dropped by 50% in the A2 group. There was visible reversal of indicators of utilization (cross-match to transfusion ratio dropped from 6.75 to 1.73 and TI increased from 0.163 to 0.613), indicating optimal utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>This pilot audit clearly demonstrates the gap between requisition and utilization of cross-matched PRBCs. Formulating an effective screening criterion avoids unnecessary cross-matching and wastage of resources and maximizes utilization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ajts.ajts_135_23","type":"journal-article","created":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T07:00:09Z","timestamp":1713164409000},"page":"224-229","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative cross-matching in major elective surgical procedures in children: An audit of department\u2019s transfusion practices"],"prefix":"10.4103","volume":"19","author":[{"given":"Rajkiran Srinivas","family":"Raju","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, St. Johns National Academy of Health Sciences, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shubha Attibele","family":"Mahadevaiah","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, St. Johns National Academy of Health Sciences, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanthala A. M.","family":"Devi","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine and Immuno-Hematology, St. Johns National Academy of Health Sciences, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,4,16]]},"reference":[{"key":"R1-20251022","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1159\/000345660","article-title":"Blood transfusion policies in elective general surgery: How to optimise cross-match-to-transfusion ratios","volume":"40","author":"Hall","year":"2013","journal-title":"Transfus Med Hemother"},{"key":"R2-20251022","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1046\/j.1365-2141.2000.02139.x","article-title":"The history of blood transfusion","volume":"110","author":"Giangrande","year":"2000","journal-title":"Br J 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Incidence, indications and outcome \u2013An observational multicentre study","volume":"18","author":"Unal","year":"2020","journal-title":"Blood Transfus"},{"key":"R8-20251022","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1046\/j.1537-2995.1977.17277151923.x","article-title":"The type and screen: A safe alternative and supplement in selected surgical procedures","volume":"17","author":"Boral","year":"1977","journal-title":"Transfusion"},{"key":"R9-20251022","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1093\/ajcp\/74.2.223","article-title":"Hemotherapy in elective surgery: An incidence report, review of the literature, and alternatives for guideline appraisal","volume":"74","author":"Mead","year":"1980","journal-title":"Am J Clin Pathol"},{"key":"R10-20251022","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1046\/j.1537-2995.1978.18478251239.x","article-title":"Reorganization of blood ordering practices","volume":"18","author":"Rouault","year":"1978","journal-title":"Transfusion"},{"key":"R11-20251022","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1046\/j.1537-2995.1976.16476247063.x","article-title":"The maximum surgical blood order schedule and surgical blood use in the United States","volume":"16","author":"Friedman","year":"1976","journal-title":"Transfusion"},{"key":"R13-20251022","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1186\/s12913-019-4584-1","article-title":"Efficiency of blood utilization in elective surgical patients","volume":"19","author":"Zewdie","year":"2019","journal-title":"BMC Health Serv Res"},{"key":"R14-20251022","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1016\/j.oooo.2013.06.034","article-title":"Preoperative cross-matching in major head and neck surgery: A study of a department's current practice and eligibility for electronic cross-matching","volume":"116","author":"Nasr","year":"2013","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol"},{"key":"R15-20251022","first-page":"369","article-title":"Reducing unnecessary cross-matching: A patient-specific blood ordering system is more accurate in predicting who will receive a blood transfusion than the maximum blood ordering system","volume":"96","author":"Palmer","year":"2003","journal-title":"Anesth Analg"}],"container-title":["Asian Journal of Transfusion 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