Skip to main content
Log in

Forecasting the Amount of Blood Ordered in the Obstetrics and Gynaecology Ward with the Data Mining Approach

  • Original Article
  • Published:
Indian Journal of Hematology and Blood Transfusion Aims and scope Submit manuscript

Abstract

Preoperative blood ordering is frequently used in the obstetrics and gynecology ward of university hospitals in Iran, even for surgeries that rarely require blood transfusions. This routine procedure is an inefficient use of resources and rising costs, wasting time and cause shortage for essential patients. So this study was carried out to propose a new optimal system based on data mining techniques for ordering blood. This cross-sectional study examined the number of units cross-matched and transfused during surgery in the obstetrics and gynecology ward from 2013 to 2015. Data was collected for 1097 patients. Statistical analyzing was applied on data to prove that; the current blood ordering was not optimal. So with use of blood indices, C/T ratio, the new blood ordering variable was introduced. Then decision tree was applied on data with use of Rapid miner. Decision tree evaluation measures were rMSE and accuracy. A total of 1097 patients were examined for which 9747 units of blood were ordered. There was a significant difference between the number of cross-matched and transfused units according to all variables. The new method reduced the cross-matched units about 71.50%. The accuracy of proposed decision tree based on new blood ordering variable (according to C/T index) was 96.10%. The effective variables of blood ordered were type of surgery, blood group and amount of hemoglobin. The recent blood ordering variable prevent blood shortages, reduce costs. Excessive blood ordering is common in the obstetrics and gynecology department. According to proper results of new ordering variable, we suggest to apply this procedure in all hospitals in order to reduce extra costs and the optimal management of blood ordering.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Notes

  1. Root mean square error.

References

  1. Peña JR (2014) Utilization management in the blood transfusion service. Clin Chim Acta 427:178–182

    Article  PubMed  Google Scholar 

  2. Ngai EWT, Hu Y, Wong YH, Chen Y, Sun X (2011) The application of data mining techniques in financial fraud detection: a classification framework and an academic review of literature. Decis Support Syst 50(3):559–569

    Article  Google Scholar 

  3. Ngai EW, Xiu L, Chau DC (2009) Application of data mining techniques in customer relationship management: a literature review and classification. Expert Syst Appl 36(2):2592–2602

    Article  Google Scholar 

  4. Costa EB, Fonseca B, Santana MA, de Araújo FF, Rego J (2017) Evaluating the effectiveness of educational data mining techniques for early prediction of students’ academic failure in introductory programming courses. Comput Hum Behav 73:247–256

    Article  Google Scholar 

  5. Varlamis I, Apostolakis I, Sifaki-Pistolla D, Dey N, Georgoulias V, Lionis C (2017) Application of data mining techniques and data analysis methods to measure cancer morbidity and mortality data in a regional cancer registry: the case of the island of Crete, Greece. Comput Methods Programs Biomed 145:73–83

    Article  PubMed  Google Scholar 

  6. Park A, Baek SJ, Shen A, Hu J (2013) Detection of Alzheimer’s disease by Raman spectra of rat’s platelet with a simple feature selection. Chemom Intell Lab Syst 121:52–56

    Article  CAS  Google Scholar 

  7. Srinivas K, Rani BK, Govrdhan A (2010) Applications of data mining techniques in healthcare and prediction of heart attacks. Int J Comput Sci Eng (IJCSE) 2(02):250–255

    Google Scholar 

  8. Obenshain Mary K (2004) Application of data mining techniques to healthcare data. Infect Control Hosp Epidemiol 25(08):690–695

    Article  PubMed  Google Scholar 

  9. Quinlan JR (1979) Discovering rules by induction from large collections of examples. Expert systems in the micro electronic age. Edinburgh University Press, Edinburgh

    Google Scholar 

  10. Quilan JR (1983) Learning efficient classification procedures and their application to chess end games. Mach Learn: Artif Intell Approach 1:463–482

    Google Scholar 

  11. Quinlan JR (2014) C4. 5: programs for machine learning. Elsevier, Amsterdam

    Google Scholar 

  12. Yoo I, Alafaireet P, Marinov M, Pena-Hernandez K, Gopidi R, Chang JF, Hua L (2012) Data mining in healthcare and biomedicine: a survey of the literature. J Med Syst 36(4):2431–2448

    Article  PubMed  Google Scholar 

  13. Ayantunde AA, Ng MY, Pal S, Welch NT, Parsons SL (2008) Analysis of blood transfusion predictors in patients undergoing elective oesophagectomy for cancer. BMC Surg 8(1):3

    Article  PubMed  PubMed Central  Google Scholar 

  14. Foley CL, Mould T, Kennedy JE, Barton DP (2003) A study of blood cross-matching requirements for surgery in gynecological oncology: improved efficiency and cost saving. Int J Gynecol Cancer 13(6):889–893

    Article  CAS  PubMed  Google Scholar 

  15. Shaker H, Wijesinghe M, Farooq A, Artioukh DY (2012) Cross-matched blood in colorectal surgery: a clinical waste? Colorectal Dis 14(1):115–118

    Article  CAS  PubMed  Google Scholar 

  16. Feliu F, Rueda JC, Ramiro L, Olona M, Escuder J, Gris F, Jiménez A, Duque E, Vicente V (2014) Preoperative blood ordering in elective colon surgery: requirement or routine? Cir Esp 92(1):44–51 (English Edition)

    Article  PubMed  Google Scholar 

  17. Friedman BA, Oberman HA, Chadwick AR, Kingon KI (1976) The Maximum surgical blood order schedule and surgical blood use in the United Stated. Transfusion 16:380–387

    Article  CAS  PubMed  Google Scholar 

  18. Richardson NG, Bradley WN, Donaldson DR, O’Shaughnessy DF (1998) Maximum surgical blood ordering schedule in a district general hospital saves money and resources. Ann R Coll Surg Engl 80(4):262

    CAS  PubMed  PubMed Central  Google Scholar 

  19. Fernández AM, Cronin J, Greenberg RS, Heitmiller ES, Anderson B (2014) Pediatric preoperative blood ordering: when is a type and screen or crossmatch really needed?. Pediatr Anesth 24(2):146–150

    Article  Google Scholar 

  20. Singh B, Adhikari N, Ghimire S, Dhital S (2015) Post-operative drop in hemoglobin and need of blood transfusion in cesarean section at Dhulikhel Hospital, Kathmandu University Hospital. Kathmandu Univ Med J 11(2):144–146

    Article  Google Scholar 

  21. Tay YW, Woo YL, Tan HC (2016) Routine pre-operative group cross-matching in total knee arthroplasty: a review of this practice in an Asian population. Knee 23(2):306–309

    Article  PubMed  Google Scholar 

  22. Kraft MR, Desouza KC, Androwich I (2003) Data mining in healthcare information systems: case study of a veterans’ administration spinal cord injury population. In: Proceedings of the 36th annual Hawaii international conference on system sciences, 2003. IEEE, p 9

  23. Chae YM, Kim HS, Tark KC, Park HJ, Ho SH (2003) Analysis of healthcare quality indicator using data mining and decision support system. Expert Syst Appl 24(2):167–172

    Article  Google Scholar 

Download references

Acknowledgements

We appreciate Shariati hospital doctors and personnel for their assistance in collecting data.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mehrdad Kargari.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Aldaghi, T., Morteza, G.H. & Kargari, M. Forecasting the Amount of Blood Ordered in the Obstetrics and Gynaecology Ward with the Data Mining Approach. Indian J Hematol Blood Transfus 36, 361–367 (2020). https://doi.org/10.1007/s12288-019-01203-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12288-019-01203-9

Keywords

Navigation