Fresh blood for transfusion in adults with beta thalassaemia

Priddee, Nicole; Pendry, Kate; Ryan, Kate

doi:10.1111/j.1365-3148.2011.01102.x

Cited by 5 publications

(2 citation statements)

References 4 publications

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“…The lack of strong evidence supporting specific transfusion practices could explain the overuse of blood products in specific patient populations [16,17]. Neonates and thalassemia patients received RBCs of the younger SA group in a statistically significant higher proportion (p<0.05), which has been considered as good transfusion practice by several studies for both patient populations [3,18,19]. Blood consumption in multiple-trauma patients could not be assessed due to the establishment plan of public hospitals in Greece that does not include an independent Accident and Emergency department.…”

Section: Discussionmentioning

confidence: 99%

Red Blood Cell Transfusions in Greece: Results of a Survey of Red Blood Cell Use in 2013

Valsami¹,

Grouzi²,

Pouliakis³

et al. 2017

Tjh

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Section: Discussionmentioning

confidence: 99%

Red Blood Cell Transfusions in Greece: Results of a Survey of Red Blood Cell Use in 2013

Valsami¹,

Grouzi²,

Pouliakis³

et al. 2017

Tjh

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Section: Discussionmentioning

confidence: 99%

Red Blood Cell Transfusions in Greece: Results of a Survey of Red Blood Cell Use in 2013

Valsami

Grouzi²,

Pouliakis³

et al. 2017

Tjh

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Objective:Greece is ranked as the second highest consumer of blood components in Europe. For an effective transfusion system and in order to reduce variability of transfusion practice by implementing evidence-based transfusion guidelines it is necessary to study and monitor blood management strategies. Our study was conducted in order to evaluate the use of red blood cell units (RBC-U) in nationwide scale mapping parameters that contribute to their proper management in Greece.Materials and Methods:The survey was conducted by the Working Committee of Transfusion Medicine&Apheresis of the Hellenic Society of Hematology from January to December 2013. The collected data included the number, ABO/D blood group, patients’ department, and storage age of RBC-U transfused.Results:The number of RBC-U evaluated was 103,702 (17.77%) out of 583,457 RBC-U transfused in Greece in 2013. RBC-U transfused by hospital department (mean percentage) was as follows: Surgery 29.34%, Internal Medicine 29.48%, Oncology/Hematology 14.65%, Thalassemia 8.87%, Intensive Care Unit 6.55%, Nephrology 1.78%, Obstetrics/Gynecology 1.46%, Neonatal&Pediatric 0.31%, Private Hospitals 8.57%. RBC-U distribution according to ABO/D blood group was: A: 39.02%, B: 12.41%, AB: 5.16%, O: 43.41%, D+: 87.99%, D-: 12.01%. The majority of RBC-U (62.46%) was transfused in the first 15 days of storage, 25.24% at 16 to 28 days, and 12.28% at 29-42 days.Conclusion:Despite a high intercenter variability in RBC transfusions, surgical and internal medicine patients were the most common groups of patients transfused with an increasing rate for internal medicine patients. The majority of RBC-U were transfused within the first 15 days of storage, which is possibly the consequence of blood supply insufficiency leading to the direct use of fresh blood. Benchmarking transfusion activity may help to decrease the inappropriate use of blood products, reduce the cost of care, and optimize the use of the voluntary donor’s gift.

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