Blood conservation strategies at United States hospitals during the COVID-19 pandemic: Findings from a multi-institutional analysis - International Society of Blood Transfusion survey.

Autor: Jacobs JW; Division of Transfusion Medicine, Department of Laboratory Medicine, Yale School of Medicine, New Haven, Connecticut, USA., Karafin MS; Department of Pathology and Laboratory Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA., Allen ES; Department of Pathology, University of California San Diego, La Jolla, California, USA., Abels E; University of Texas Medical Branch, Galveston, Texas, USA., Park YA; Department of Pathology and Laboratory Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA., Stephens LD; Department of Pathology, University of California San Diego, La Jolla, California, USA., Ward DC; Wing-Kwai and Alice Lee-Tsing Chung Transfusion Service, Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California, USA., Woo JS; Department of Pathology, City of Hope National Medical Center, Duarte, California, USA., Gehrie EA; American Red Cross, National Headquarters, Washington, DC, USA., Booth GS; Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA., Adkins BD; Division of Transfusion Medicine and Hemostasis, Department of Pathology, University of Texas Southwestern, Dallas, Texas, USA.
Jazyk: angličtina
Zdroj: Transfusion [Transfusion] 2022 Nov; Vol. 62 (11), pp. 2271-2281. Date of Electronic Publication: 2022 Sep 20.
DOI: 10.1111/trf.17116
Abstrakt: Background: Due to the coronavirus disease 2019 (COVID-19) pandemic, the transfusion medicine community has experienced unprecedented blood supply shortages since March 2020. As such, numerous changes to everyday practice have occurred with a specific emphasis on blood conservation. We sought to determine the strategies used to mitigate blood shortages and promote blood conservation during the pandemic.
Methods: An anonymous, 37-question survey was developed using Research Electronic Data Capture and distributed via e-mail to transfusion medicine specialists across the US obtained via publicly available databases.
Results: Amongst surveyed [41.1% response rate (51/124 institutions)], 98.0% experienced a product shortage, with the greatest number reporting red blood cell (RBC) shortages (92.0%). This led to 35.3% of institutions altering the composition and/or number of blood product suppliers, including a 100% increase in the number of institutions acquiring blood from organizations that connect hospital transfusion services with blood collection centers (e.g., Blood Buy) compared to before March 2020. Prospective triaging of blood products was the most common blood conservation strategy (68.1%), though 35.4% altered their RBC exchange or transfusion program for patients receiving chronic RBC transfusion/exchange. As a result of these changes, 78.6% of institutions reported that these changes resulted in a reduction in blood product usage, and 38.1% reported a decrease in product wastage.
Conclusions: Most hospitals experienced the effects of the supply shortage, and many of them implemented blood conserving measures. Conservation strategies were associated with decreased blood utilization and waste, and future studies could evaluate whether these changes persist.
(© 2022 AABB.)
Databáze: MEDLINE
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