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Issue: Vol. 567 No. 1 (2026)
Section: Các bài báo
DOI: 10.51298/vmj.v567i1.19276
Date Published: 05/11/2026
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How to Cite
Bùi, Đ. X. L., Phan, T. C. T., & Phan, T. M. N. (2026). OPTIMIZING PREOPERATIVE PACKED RED BLOOD CELL ORDERING IN PEDIATRIC SURGERY USING MSBOS AT CITY CHILDREN’S HOSPITAL. Vietnam Medical Journal, 567(1). https://doi.org/10.51298/vmj.v567i1.19276

OPTIMIZING PREOPERATIVE PACKED RED BLOOD CELL ORDERING IN PEDIATRIC SURGERY USING MSBOS AT CITY CHILDREN’S HOSPITAL

Đoàn Xuân Linh Bùi1, , Thị Cẩm Tiên Phan1, Thị Minh Ngọc Phan1
1 Bệnh viện Nhi Đồng 1, TP. Hồ Chí Minh

Main Article Content

Abstract

Background: Preoperative pRBC ordering is essential for surgical safety and rational blood inventory management; CTR, %T, TI and MSBOS are used to audit ordering practice.


Objectives: To evaluate packed red blood cell ordering in pediatric surgery using CTR, %T, TI and MSBOS at City Children’s Hospital.


Methods: Retrospective descriptive study of 287 pediatric surgical patients with preoperative pRBC reservation and crossmatch testing, August–December 2020, using medical records, LIS and blood bank data.


Results: 537 pRBC units were reserved for 287 patients; 255 units were transfused to 131 patients. Overall CTR = 2.11, %T = 45.64%, TI = 0.89, MSBOS = 1.33. Thoracic/cardiovascular surgery performed best (CTR = 1.31; %T = 87.50%; TI = 2.23); general surgery had the highest CTR (3.84) and lowest %T (26.92%); hydrocephalus showed marked over-ordering (CTR = 20.00; %T = 7.69%).


Conclusion: Overall ordering was acceptable, but over-ordering persisted in general surgery and selected low-risk procedures. A procedure-specific MSBOS and Group & Screen policy are recommended.

Keywords

Blood ordering, packed red blood cells, pediatric surgery, crossmatch-to-transfusion ratio, MSBOS, patient blood management

Article Details

References

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