Adverse Influence of Terminating the Operation of the Blood Deposit Facility on Amami-Oshima

Oki, Hiroshi; Harimochi, So; Sameshima, Hiroko; Hara, Jun; Yoshikuni, Kenichirou; Kiyotake, Takako

doi:10.3925/jjtc.66.40

Cited by 7 publications

(1 citation statement)

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“…At first, our hospital decided to secure a certain amount of blood for transfusion in the hospital to discard it, but the annual amount of blood discarded amounted to 14200 USD, a situation that could put pressure on management considering the burden on the hospital as a private hospital. Ohki et al reported that the withdrawal of the blood storage station from Amami Oshima resulted in an increase in the blood disposal rate at the core hospital in Amami Oshima and uneven distribution of medical resources [ 5 ]. The waste of valuable medical resources through blood donation was also seen as an ethical issue.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Study to Reduce Blood Transfusion Waste in Remote Island Healthcare Settings

Sakamoto,

Mizuta,

Niiro

et al. 2023

Advances in Hematology

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Background. Tokunoshima is a remote island in the Amami Islands, 470 km southwest of the Kagoshima mainland. It has a population of 23,000 and consists of three towns: Tokunoshima, Isen, and Amagi. Three medical institutions on the island are responsible for blood transfusion medicine, but there is no blood stockpiling station on the island, and blood is stockpiled in each of the hospitals. Although Tokunoshima Tokushukai Hospital is responsible for 70% of transfusion medicine on Tokunoshima, it is difficult to maintain a sufficient amount of blood in stock considering disposal. Aim. To determine whether changing the distribution of blood types in a hospital’s stockpile would reduce the transfusion disposal rate. Methods. This was a retrospective survey. By changing the in-house stock of blood products for transfusions delivered to our hospital over 10 years from January 2013 to December 2017 (preintervention) and from January 2018 to December 2022 (postintervention), we compared the cost-saving effects of these two intervention strategies on disposal rates and blood inventories, as well as the survival rates of case profiles requiring transfusion interventions in hospital-donated transfusion and ABO-incompatible transfusion between two periods. The hospital's stock of RBC had changes that storage of type (A, B, O, AB) RBC from (4, 4, 4, 2) units in the pre-interventon to (2, 2, 6, 0) units in the postintervention. Results. The annual blood product waste rate decreased from 23.4% in the preintervention period to 17.9% in the post-intervention period. Conclusion. By changing the blood products stockpiled for transfusion medicine in Tokunoshima, the transfusion disposal rate can be reduced.

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Section: Discussionmentioning

confidence: 99%