Volume: 2 Issue: 3
Year: 2025, Page: 129-133, Doi: https://doi.org/10.71325/ajjms.v2i3.2 5.47
Received: Sept. 30, 2025 Accepted: Oct. 14, 2025 Published: Nov. 22, 2025
Background: There is no substitute for human blood. Blood and its components are essential for patient care, yet wastage remains a challenge. Identifying discard patterns helps optimize resource use. Objectives: 1. To evaluate the usage and wastage of blood components. 2. To determine optimum usage of blood components with minimal wastage. Materials and Methods: This retrospective study reviewed all 7765 blood donations collected/components prepared during the study period - January 2021 to December 2024. Blood units collected were processed and separated into components using cold centrifugation as per standard procedure. The separated components include packed red blood cells (PRBCs), fresh frozen plasma (FFP) and platelet concentrates. Reasons for discarding included expiry date, less collection volume, bag breakage and seropositivity, which were recorded and analyzed. Results: Of the 7765 units collected, 596 components (7.6%) were discarded. Discard rates component wise were - 3.8% PRBCs, 1.7% FFP and 52.2% platelets. Expiry date accounted for 87% of discards (519/596 units), followed by low volume collection (31 units), bag breakage (34 units), seropositivity (16 units: 4 HBsAg, 9 VDRL, 2 HIV, 1 HCV) and hemolysis (1unit). Conclusion: Platelet concentrates were the highest component discarded due to their short shelf life. Although overall discard rate was 7.7%, most losses especially due to date expiry are not preventable. Improved stock rotation, accurate demand forecasting and enhanced quality control can reduce wastage and ensure more efficient use of blood resources.
Keywords: Blood Centre, Blood components usage, Wastage
1. National Blood Transfusion Council. Standards for Blood Banks and Blood Transfusion Services 2nd Ed. New Delhi: Ministry of Health and Family Welfare, Government of India; 2007. https://naco.gov.in/sites/default/files/Standards%20for%20Blood%20Banks%20and%20Blood%20Transfusion%20Services.pdf
3. Jairajpuri ZS, Sehgal S, Khetrapal S, Jetley S, Rana S. Evaluation of causes and rate of wastage of blood and its components– an important quality indicator in blood banks. Online Journal of Health Allied Sciences. 2022; 21 (2).
4. Simon K, Ambroise MM, Ramdas A. Analysis of blood and blood components wastage in a tertiary care hospital in South India. Journal of Current Research in Scientific Medicine. 2020; 6 (1). Available from: https://doi.org/10.4103/jcrsm.jcrsm_9_20
5. Kori S, Yadav YR, Banerjee S, Bari V. Analysis of the total wastage of blood bags and various blood components in a blood bank of a tertiary care hospital. International Journal Of Community Medicine And Public Health. 2024; 11 (2). Available from: https://doi.org/10.18203/2394-6040.ijcmph20240285
6. Kumar A, Sharma SM, Ingole NS, Gangane N. Analysis of reasons for discarding blood and blood components in a blood bank of tertiary care hospital in central India: A prospective study. International Journal of Medicine and Public Health. 2014; 4 (1). Available from: https://doi.org/10.4103/2230-8598.127161
7. Mathur A, Tiwari AK, Kakkar N, Choudhary RK. Pattern of discards of blood and blood components in a tertiary care hospital, International Journal of Research in Medical Sciences 2023; 11(4):1023–7
8. Agarwal P, Kumar S, Pandey A, Agarwal A. Study of discard of blood and blood components in a tertiary care hospital in Western Uttar Pradesh, International Journal of Research in Medical Sciences. 2023; 11(2):502–5
9. Joshi R, Nair S. Analysis of blood component wastage in a tertiary care hospital of South Gujarat. National Journal of Community Medicine. 2015; 6 (1):137–40
10. Radhika B, Ramesh T, Sandhya P: A retrospective study on the reasons for discarding blood and its components at a tertiary care center , Annals of Pathology & Laboratory Medicine. 2021; 8(5):C37–C41
11. Shivaraj NS. Blood unit discards due to transfusion-transmitted infections at a tertiary care center in North Karnataka: A five-year retrospective study. Journal of Laboratory Physicians 2023; 15(1):58-62
12. Kumari S, Jain R, Tiwari A. A study on discard of blood and blood components in government blood bank: Problems and solutions, International Journal of Medical and Public Health. 2020;10(1):10-14
© 2025 Published by Laxmi Memorial Education Trust. This is an open-access article under CC BY 4.0 license. (https://creativecommons.org/licenses/by/4.0/)
S Katheejathul Maqsooda, Niranjan P Khadilkar, B V Mamatha, Preeval Shreya Crasta. Retrospective Study of Usage and Wastage of Blood and Blood Components in Blood Centre of a Tertiary Care Hospital in Coastal Karnataka. AJ J Med Sci 2025;2(3):129-133