Keywords
Blood transfusion
Surgical procedures
Operative
Blood component transfusion
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Abstract
Objective: To evaluate the demand, actual utilization, and stock retention of blood components reserved for elective surgeries at the transfusion service of a maternity hospital in northern Brazil, describing indicators and assessing adherence to the institutional transfusion protocol as a model of good practices within the Brazilian Unified Health System (SUS). Methods: A retrospective study analyzing monthly records of blood component reservation, utilization, and stock retention from January to December 2024, including laboratory parameters of hemoglobin and hematocrit in transfused patients. Results: Of the 2,714 blood units requested, 547 (20.2%) were reserved for elective surgeries, with effective utilization of 31 units (5.7%) and 94.3% remaining in stock. Proportion testing demonstrated that the effective utilization rate was statistically lower than 20% (p < 0.0001). The mean hemoglobin level in transfused patients was 9.12 g/dL, with no statistically significant difference compared with the clinical cutoff of 9 g/dL (p = 0.764). Conclusion: High adherence to the institutional transfusion protocol was observed, with rationalization of surgical blood reservations while maintaining patient safety. These findings indicate a positive impact on blood component management and reinforce the potential applicability of this model in other public healthcare services within the SUS.
References
ALVES JL, et al. Proposta de um novo protocolo de reservas de hemocomponentes para cirurgias em um hospital universitário de Recife-Pernambuco. Rev Bras Inov Tecnol Saúde, 2018; 8(1): 1–30.
ARRUDA-BARBOSA L, et al. Impacto da migração venezuelana na rotina de um hospital de referência em Roraima, Brasil. Interface (Botucatu), 2020; 24: e190807.
BENZIL DL, et al. A maximum surgical blood ordering schedule: Does it add value? Vox Sang, 2025; 120: 411-418.
CÉSPEDES IC, et al. Patient Blood Management Program Implementation: Comprehensive Recommendations and Practical Strategies. Braz J Cardiovasc Surg., 2024; 39(5): e20240205.
CHAVES AN, et al. Doação de sangue na pandemia da COVID-19: campanha incentivadora em um hemocentro. Revista Eletrônica Acervo Saúde, 2022; 15(9): e10903.
COZZI GD, et al. Optimal predelivery hemoglobin to reduce transfusion and adverse perinatal outcomes. Am J Obstet Gynecol MFM., 2023; 5(2): 100810.
CRUZ MGS, SANTANA AC. Análise do cancelamento de cirurgias eletivas: contribuições para assistência de enfermagem perioperatória. Rev Perquirere, 2018; 15(1): 26-36.
ELFAZARI T, et al. Surgical indication and approach are associated with transfusion in hysterectomy for benign disease. JSLS, 2022; 26(2): e2022.
FARIAS LM, et al. Intraoperative and postoperative complications in gynaecological surgery: a retrospective analysis. Cureus, 2021; 13(5): e14885.
FARIAS VFR, et al. Análise do perfil de transfusões de hemocomponentes em um hospital de Belém do Pará no ano de 2022. Revista Eletrônica Acervo Saúde, 2025; 25: e19685.
HEMOCE – Centro de Hematologia e Hemoterapia do Ceará. Manual de Uso Racional de Sangue DIRT GER 03. 2. ed. HEMOCE; 2022. Disponível em: https://educasangue.com.br/index.php/reserva-cirurgica/. Acessado em: 15 de outubro de 2025.
INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA (IBGE). Roraima. Disponível em: https://cidades.ibge.gov.br/brasil/rr/panorama. Acessado em: 15 de outubro de 2025.
ISIDORO REC, et al. Solicitação de reserva e preditores para hemotransfusão em cirurgias eletivas de fratura de fêmur. Texto Contexto Enferm., 2019; 28: e20180129.
LEITE DFV, et al. Gestão de riscos na saúde. Revista Eletrônica Acervo Saúde, 2024; 24(6): e16504.
MIYASAKI MR, et al. Avaliação de um protocolo para reserva de sangue para cirurgias de fratura do quadril em idosos. Rev Bras Ortop., 2024; 59(4): e617-e621.
ROCHA LB, et al. Soroprevalência de doenças infecciosas em doadores de sangue em um município do Amazonas. Revista Eletrônica Acervo Saúde, 2020; 14(8): e4050.
ROMANO R, et al. Hemotransfusões em pacientes internados em um hospital municipal: análise das requisições de transfusão. Revista Eletrônica Acervo Saúde, 2025; 25: e18096.
SHANDER A, et al. A global definition of patient blood management. Anesth Analg., 2022; 135(3): 476-88.
SURBEK D, et al. Patient blood management (PBM) in pregnancy and childbirth: literature review and expert opinion. Arch Gynecol Obstet., 2020; 301: 627–641.
WORLD HEALTH ORGANIZATION (WHO). The urgent need to implement patient blood management: policy brief. Geneva: World Health Organization; 2021. Disponível em: https://www.who.int/publications/i/item/9789240039715 Acesso em: 15/10/2025.