Blood Product Stewardship in an Academic Emergency Department: A Study on Rational Utilization

Neda Ashayeri; Seyedamir Tabibzadeh Dezfooli; Mahdi Rezai; Kourosh Javdani Esfehani; Reza Mosaddegh; Arman Jahangiri; Alireza Javan

doi:10.5455/JPHCM.20240919061123

J Pub Health Comm Med. 2025; 3(2): 97-101

doi: 10.5455/JPHCM.20240919061123

Blood Product Stewardship in an Academic Emergency Department: A Study on Rational Utilization

Neda Ashayeri, Seyedamir Tabibzadeh Dezfooli, Mahdi Rezai, Kourosh Javdani Esfehani, Reza Mosaddegh, Arman Jahangiri, Alireza Javan.

Abstract
Abstract
Background: Global blood shortages necessitate judicious blood product utilization. This study assesses blood product use in an academic emergency department (ED) to identify areas for improvement in resource stewardship.
Methods: This observational study reviewed ED records of patients receiving blood products during the first six months of 2022. Data analysis used SPSS 22, employing chi-square tests for qualitative variable relationships and t-tests/one-way ANOVA for comparing quantitative variable means across qualitative groups. Statistical significance was set at p < 0.05.
Results: Of 157 records reviewed, 55 patients (35%) received blood transfusions. Appropriate Packed Red Blood Cell (PRBC) reservation and transfusion rates were 74% and 91.1%, respectively. 43 units of PRBC (42.2%, 95% CI 32.4-52.9%) and 12 units of Fresh Frozen Plasma (FFP) (23.5%, 95% CI 13.7-35.3%) were used; reserved platelets were unused. Analysis revealed significantly higher PRBC consumption than expected (p = 0.025, Chi-square). While the average age of transfused patients (59.14, 95% CI 53.14-64.4) was higher than those not transfused (55.7, 95% CI 51.53-59.4), this difference was not statistically significant (p = 0.316).
Conclusion: This study highlights the need for more cautious blood product reservation, even within an academic ED setting, to optimize resource allocation and reduce waste.

Key words: Blood Transfusion, Packed Red Blood Cell (PRBC), Fresh Frozen Plasma (FFP), Blood Product Stewardship, Emergency Department

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How to Cite this Article

Pubmed Style

Ashayeri N, Dezfooli ST, Rezai M, Esfehani KJ, Mosaddegh R, Jahangiri A, Javan A. Blood Product Stewardship in an Academic Emergency Department: A Study on Rational Utilization. J Pub Health Comm Med. 2025; 3(2): 97-101.

doi:10.5455/JPHCM.20240919061123

Web Style

Ashayeri N, Dezfooli ST, Rezai M, Esfehani KJ, Mosaddegh R, Jahangiri A, Javan A. Blood Product Stewardship in an Academic Emergency Department: A Study on Rational Utilization. https://www.wisdomgale.com/jphcm/?mno=221170 [Access: June 28, 2026].

doi:10.5455/JPHCM.20240919061123

AMA (American Medical Association) Style

Ashayeri N, Dezfooli ST, Rezai M, Esfehani KJ, Mosaddegh R, Jahangiri A, Javan A. Blood Product Stewardship in an Academic Emergency Department: A Study on Rational Utilization. J Pub Health Comm Med. 2025; 3(2): 97-101.

doi:10.5455/JPHCM.20240919061123

Vancouver/ICMJE Style

Ashayeri N, Dezfooli ST, Rezai M, Esfehani KJ, Mosaddegh R, Jahangiri A, Javan A. Blood Product Stewardship in an Academic Emergency Department: A Study on Rational Utilization. J Pub Health Comm Med. (2025), [cited June 28, 2026]; 3(2): 97-101.

doi:10.5455/JPHCM.20240919061123

Harvard Style

Ashayeri, N., Dezfooli, . S. T., Rezai, . M., Esfehani, . K. J., Mosaddegh, . R., Jahangiri, . A. & Javan, . A. (2025) Blood Product Stewardship in an Academic Emergency Department: A Study on Rational Utilization. J Pub Health Comm Med, 3 (2), 97-101.

doi:10.5455/JPHCM.20240919061123

Turabian Style

Ashayeri, Neda, Seyedamir Tabibzadeh Dezfooli, Mahdi Rezai, Kourosh Javdani Esfehani, Reza Mosaddegh, Arman Jahangiri, and Alireza Javan. 2025. Blood Product Stewardship in an Academic Emergency Department: A Study on Rational Utilization. Journal of Public Health and Community Medicine, 3 (2), 97-101.

doi:10.5455/JPHCM.20240919061123

Chicago Style

Ashayeri, Neda, Seyedamir Tabibzadeh Dezfooli, Mahdi Rezai, Kourosh Javdani Esfehani, Reza Mosaddegh, Arman Jahangiri, and Alireza Javan. "Blood Product Stewardship in an Academic Emergency Department: A Study on Rational Utilization." Journal of Public Health and Community Medicine 3 (2025), 97-101.

doi:10.5455/JPHCM.20240919061123

MLA (The Modern Language Association) Style

Ashayeri, Neda, Seyedamir Tabibzadeh Dezfooli, Mahdi Rezai, Kourosh Javdani Esfehani, Reza Mosaddegh, Arman Jahangiri, and Alireza Javan. "Blood Product Stewardship in an Academic Emergency Department: A Study on Rational Utilization." Journal of Public Health and Community Medicine 3.2 (2025), 97-101. Print.

doi:10.5455/JPHCM.20240919061123

APA (American Psychological Association) Style

Ashayeri, N., Dezfooli, . S. T., Rezai, . M., Esfehani, . K. J., Mosaddegh, . R., Jahangiri, . A. & Javan, . A. (2025) Blood Product Stewardship in an Academic Emergency Department: A Study on Rational Utilization. Journal of Public Health and Community Medicine, 3 (2), 97-101.

doi:10.5455/JPHCM.20240919061123