Τίτλος:
Red Blood Cell Transfusions in Greece: Results of a Survey of Red Blood Cell Use in 2013.
Περίληψη:
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.
Συγγραφείς:
Valsami, Serena
Grouzi, Elisavet
Pouliakis, Abraham
Fountoulaki-Paparisos, Leontini
Kyriakou, Elias
Gavalaki, Maria
Markopoulos, Elias
Kontopanou, Ekaterini
Tsolakis, Ioannis
Tsantes, Argyrios
Tsoka, Alexandra
Livada, Anastasia
Rekari, Vassiliki
Vgontza, Niki
Agoritsa, Dimitra
Politou, Marianna
Nousis, Stavros
Argyrou, Aspasia
Manaka, Ekaterini
Baka, Maria
Mouratidou, Maria
Tsitlakidou, Stavroula
Malekas, Konstantinos
Maltezo, Dimitrios
Papadopoulou, Paraskevi
Pournara, Vassiliki
Tirogala, Ageliki
Lysikatos, Emmanouil
Pefani, Sousanna
Stamoulis, Konstantinos
Περιοδικό:
Turkish journal of haematology : official journal of Turkish Society of Haematology
Λέξεις-κλειδιά:
Humans, Greece, Surveys and Questionnaires, Hospitals, ABO Blood-Group System, Erythrocyte Transfusion/*statistics & numerical data, Erythrocytes/*cytology
DOI:
10.4274/tjh.2016.0188
