Objective: To describe the reasons for the disposal of blood in the coordinating blood center of the State of Paraná and to estimate the financial costs resulting from potentially avoidable discards. Method: A descriptive, retrospective and documentary analysis, with data related to the period from 2010 to 2015 of a Brazilian coordinating blood center collected from a governmental database and analyzed by descriptive statistics. This study was approved by the Ethics Research Committee (CAEE 63074916.0.0000.5225). Results: 101,813 units were discarded, representing 22.3% of the total of 455,684 produced; plasma was the most discharged blood component. The main reason for discarding was lipemia (35.8%); the analysis showed that 56.9% of the disposals were considered potentially avoidable with an estimated paid value of approximately US$2 million. Conclusion: The expressive potential of avoidance of disposal of blood units and blood components highlights the importance of planning actions aiming at their best use, contributing to the reduction of amounts paid for these processes.
Inaptidões clínicas em serviços de coleta de sangue correspondem a recusas de candidatos. Este estudo teve como objetivo identificar as causas e a frequência de inaptidões de candidatos à doação de sangue no hemocentro coordenador do Paraná. Fez-se análise exploratória e documental com dados do período 2010 a 2015 coletados do Sistema HEMOVIDA e relatórios do hemocentro; os dados foram analisados por estatística descritiva. Entre 220.496 candidatos, 30.950 (14,0%) foram classificados como inaptos à doação de sangue, risco para transmissão de doenças (36,6%), sinais e sintomas clínicos (23,4%) e exclusão médica (9,9%) foram as causas mais frequentes de recusa. Considerando o ônus aos candidatos e ao hemocentro, ações coordenadas são necessárias para prevenir e reduzir a prevalência de inaptidão à doação de sangue.
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