Table 4 Clinical blood demand and unmet need among study participants at UTH, Lusaka Zambia, 2016 (N = 1086).
Maternal characteristics | Maternal HIV status | P Value | |
|---|---|---|---|
HIV + (n = 265) | HIV- (n = 821) | ||
Median number of units requested (Median, IQR) | 4 [3–5] | 4 [3–5] | 0.9 |
Blood Bank requests | |||
Total Number of requests for blood/components | 256 (96.6) | 778 (94.8) | 0.25 |
Antepartum | 103 (40.2) | 303 (38.9) | 0.61 |
Postpartum | 153 (59.8) | 475 (61.1) | 0.94 |
Urgency level of blood request | |||
Emergency | 89(34.9) | 246 (30.9) | 0.29 |
Urgent | 93(24.7) | 221 (27.8) | 0.53 |
Standard | 101(39.6) | 324 (40.8) | 0.72 |
Number of blood units requested (median, IQR) | 4.4(3.3) | 4.7 (3.8) | 0.9 |
Whole blood (WB) and packed red blood cells (PRBC) | 4 (3–4) | 4 (3–4) | |
Components (platelets, fresh frozen plasma, and cryoprecipitate) | 0 (0–0) | 0 (0–0) | |
Time for fulfillment of blood request (Median, IQR) (days) | |||
Whole blood | 0 (0–1) | 0 (0–1) | 0.31 |
Packed red cells | 1 (0–1) | 0 (0–1) | 0.60 |
Components (platelets, fresh frozen plasma, and cryoprecipitate) | 0 (0–1) | 0 (0–1) | 0.71 |
Number of units issued (median, IQR) | 1 (1–2) | 1 (1–2) | 0.14 |
Whole blood (WB) and Packed Red Blood Cells (PRBC) | 2 (1–1) | 2 (1–2) | 0.32 |
Components (platelets, fresh frozen plasma, and cryoprecipitate) | 4 (4–4) | 4 (2–4) | 0.53 |
Transfusions | |||
Total number of patients transfused | 125 (47.2) | 340 (41.4) | 0.1 |
Total number of patients not transfused | 140 (52.8) | 481 (58.6) | 0.1 |
Number of blood units transfused (median, IQR) | 2 (1–2) | 2 (1–2) | 0.67 |
Whole blood (WB) and packed red blood cells (PRBC) | 2 (1–2) | 2 (1–2) | 0.95 |
Components (platelets, fresh frozen plasma, and cryoprecipitate) | 4 (2–4) | 4 (2–4) | 0.99 |
Reasons for non-receipt of blood and/or components | |||
Blood or component not available | 40 (15.1) | 102 (12.4) | 0.26 |
No longer medically indicated | 87 (32.8) | 282 (34.4) | 0.65 |
Patient expired /died | 1 (0.4) | 4 (0.5) | 1 |
Patient refused | 5 (1.9) | 16 (2.0) | 1 |
Delay in blood processing | 33 (12.5) | 48 (5.9) | < 0.01 |
Other | 2 (0.8) | 8 (1.0) | 1 |
