Blood transfusion activity in a general hospital during the COVID‐19 pandemic

Marín-Mori, Karen; Marín, Isabel González-Gascón y; Foncillas, María Ángeles; Muñoz‐Novas, Carolina; Infante, María Teresa; Churruca-Sarasqueta, Juan; Landete-Hernández, Elena; Bueno-García, Begoña; Duffort‐Falcó, Mercedes; Hernández‐Rivas, José Ángel

doi:10.1111/vox.13024

Cited by 10 publications

(7 citation statements)

References 24 publications

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“…Our study is related to other studies reporting a drop in blood during COVID-19 in ICUs of over 50%. Other studies, such as the first one carried out in China and the United States, have shown that 95% of ICU patients had anemia and that 85% of those were admitted to the ICU for seven days or more, which coincides with our study, in which a mean of 9.37 ± 12.03 days in the ICU [ 33 , 34 , 35 , 36 , 37 ].…”

Section: Discussionsupporting

confidence: 91%

A Cohort Study in Intensive Care Units: Health Decisions Related to Blood Transfusion during the COVID-19 Pandemic

Juárez‐Vela

García-Erce

Gea-Caballero

et al. 2022

JCM

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Critically ill polytrauma patients with hemorrhage require a rapid assessment to initiate hemostatic resuscitation in the shortest possible time with the activation of a massive transfusion or a critical hemorrhage management protocol. The hospital reality experienced during the COVID-19 pandemic in all countries was critical, as it was in Spain; according to the data published daily by the Ministry of Health on its website, during the period of this study, the occupancy rate of intensive care units (ICUs) by patients diagnosed with the novel coronavirus disease (COVID-19) rose to 23.09% in Spain, even reaching 45.23% at the end of January 2021. We aimed to analyze the changes observed during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic period regarding the effectiveness of Spanish ICUs in terms of mortality reduction. We present a cross-sectional study that compares two cohorts of patients admitted to ICUs across all autonomous communities of Spain with a diagnosis of polytrauma. Results: Only age was slightly higher at admission during the first wave of the pandemic (47.74 ± 18.65 vs. 41.42 ± 18.82 years, p = 0.014). The transfusion rate during the pandemic increased by 10.4% compared to the previous stage (p = 0.058). Regarding hemostatic components, the use of tranexamic acid increased from 1.8% to 10.7% and fibrinogen concentrates from 0.9% to 1.9%. In the case of prothrombin complex concentrates, although there was a slight increase in their use, there were no significant differences during the pandemic compared to the previous period. Conclusion: Mortality showed no difference before and during the pandemic, despite the observed change in the transfusion policy. In summary, the immediate and global implementation of patient blood management (PBM) based on clinical transfusion algorithms should be mandatory in all hospitals in our country.

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Section: Discussionsupporting

confidence: 91%

A Cohort Study in Intensive Care Units: Health Decisions Related to Blood Transfusion during the COVID-19 Pandemic

Juárez‐Vela

García-Erce

Gea-Caballero

et al. 2022

JCM

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“…2 Concurrently and also for pandemic-related reasons, hospitals canceled elective surgeries, decreasing blood utilization. 3 By late spring, blood usage returned to historical norms. [4][5][6][7] The ongoing pandemic continued to spur shortages of blood components throughout 2020, 8,9 especially for patient populations with special needs.…”

Section: Introductionmentioning

confidence: 99%

“…During the first quarter of 2020, the COVID‐19 pandemic disrupted blood collections due to cancellations, increased social distancing, and personal protective equipment requirements, 1 leading to blood shortages 2 . Concurrently and also for pandemic‐related reasons, hospitals canceled elective surgeries, decreasing blood utilization 3 . By late spring, blood usage returned to historical norms 4–7 .…”

Section: Introductionmentioning

confidence: 99%

Blood usage at a large academic center in Maryland in relation to the COVID‐19 pandemic in 2020

et al. 2021

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Background: Blood usage and collections were impacted throughout 2020 both by the severity of the COVID-19 pandemic as well as public health decisions affecting hospital operations. We sought to understand the longer-term effects of the pandemic on blood usage via changes in case volume and clinical intensity as well as whether the blood needs of COVID-19-positive patients differed from other transfused patients. Study design and methods:A single-center retrospective study of blood use in 2020 as compared to 2014-2019 was conducted at a tertiary care center. Statistical analysis was performed in an R-based workflow. p values are reported using two-sided t-tests for total hospital blood usage and using Mann-Whitney U tests for comparisons of patient blood usage.Results: Mean monthly red cell usage in 2020 decreased by 11.2% (p = .003), plasma usage decreased by 23.8%, (p < .001) platelet usage decreased by 11.4% (p < .001), and monthly cryoprecipitate use increased by 18% (p = .03). A linear regression model predicted significant associations between total blood usage and the year, number of Medicare eligible discharges, and Case Mix Index. COVID-19-positive patients requiring at least one blood product did not use significantly different amounts of red cells, plasma, or platelets from all other transfused patients.Conclusions: Year 2020 began with decreased blood usage that was normalized by late spring. Reassuringly, transfused COVID-19-positive patients in general and those requiring ICU level care do not use significantly increased amounts of blood as compared to similar transfused hospital patients.

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“…This had led to a large reduction in the number of stock inventories and regional donation centers. In several countries, the pattern of decline in voluntary donations was globally well observed despite the tremendous efforts made by health authorities and the media to assure safe practices and precautions to prevent the transmission of infection in the blood donation areas [1,[11][12][13]. The WHO has given a preliminary guidance to maintain a safe and sufficient blood supply during the COVID-19 pandemic [14].…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 on Blood Donation and Supply: A Multicenter Cross-Sectional Study from Saudi Arabia

Hakami

Al-Sulami

Alhazmi

et al. 2022

BioMed Research International

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Background. The coronavirus disease-19 (COVID-19) pandemic caused a major impact on blood donation process and supply globally. A lockdown management procedure was launched nationally in Saudi Arabia to manage this global health crisis. The main aim of this study was to determine the effect of COVID-19 lockdown on blood donation services and supply in different regions of Saudi Arabia. Study Design and Methods. A retrospective cross-sectional study was conducted in the blood bank centers of 5 major cities including Riyadh, Jeddah, Dammam, Hail, and Jizan in Saudi Arabia. Demographic and blood characteristics were retrieved from the first 6 months of 2019 (January–June) and compared to the same period of 2020. Results. Our findings showed variation in the characteristics of blood donation and supply among the centers surveyed, as some of these centers were adversely affected, while others showed an increase in the availability of blood products during the pandemic. For example, Jeddah’s center was significantly affected by COVID-19 lockdown whereas Hail’s center showed a significant increase in the analyzed characteristics of blood donation services in 2020 compared to 2019. Overall, there was no major difference among the surveyed centers between 2020 and 2019, and this might be due to the effective management of blood supply and transfusion. Discussion. Although blood supply and transfusion practice was slightly affected at various degree among the surveyed centers, the whole process did not show a significant effect on the overall outcome. This is in fact due to the proper preparedness, management of blood requirements and supplies, and efficient response of the surveyed centers in Saudi Arabia.

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Blood transfusion activity in a general hospital during the COVID‐19 pandemic

Cited by 10 publications

References 24 publications

A Cohort Study in Intensive Care Units: Health Decisions Related to Blood Transfusion during the COVID-19 Pandemic

A Cohort Study in Intensive Care Units: Health Decisions Related to Blood Transfusion during the COVID-19 Pandemic

Blood usage at a large academic center in Maryland in relation to the COVID‐19 pandemic in 2020

Impact of COVID-19 on Blood Donation and Supply: A Multicenter Cross-Sectional Study from Saudi Arabia

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