BACKGROUND: An understanding of current and changing patterns of red blood cell (RBC) use will help predict future demands and aid future planning for transfusion services. It can also highlight areas where efforts to optimize RBC use are most likely to be productive. STUDY DESIGN AND METHODS: Surveys were conducted in two 14-day periods of all RBC transfusions in a geographic region of England supplied by a single blood center. Data collection was prospective and used preprinted paper forms. Results were compared with two previous studies covering a period of 10 years. RESULTS: The clinical fate of 8025 units of RBCs was recorded consistent with data on more than 99% of units issued and transfused during the survey period. The overall RBC transfusion rate has decreased from 45.5 to 36 units per 100,000 population from 1999 and 2009. Twenty-nine percent were used for surgical indications indicating a further decrease in surgical use compared to previous surveys. This decrease was limited solely to recipients of 50 to 80 years of age. Use for medical and obstetric/gynecologic indications has not changed significantly over 10 years. CONCLUSION: Further decreases in surgical RBC use may be achievable but the aging population is likely to demand more blood for nonsurgical indications and efforts should be directed to optimizing use in these recipients. Comparative data on transfusion rates between regions or countries may be a useful tool for improving blood use.
BACKGROUND: An understanding of current and changing patterns of red blood cell (RBC) use will help predict future demands and aid future planning for transfusion services. It can also highlight areas where efforts to optimize RBC use are most likely to be productive. STUDY DESIGN AND METHODS: Surveys were conducted in two 14-day periods of all RBC transfusions in a geographic region of England supplied by a single blood center. Data collection was prospective and used preprinted paper forms. Results were compared with two previous studies covering a period of 10 years. RESULTS: The clinical fate of 8025 units of RBCs was recorded consistent with data on more than 99% of units issued and transfused during the survey period. The overall RBC transfusion rate has decreased from 45.5 to 36 units per 100,000 population from 1999 and 2009. Twenty-nine percent were used for surgical indications indicating a further decrease in surgical use compared to previous surveys. This decrease was limited solely to recipients of 50 to 80 years of age. Use for medical and obstetric/gynecologic indications has not changed significantly over 10 years. CONCLUSION: Further decreases in surgical RBC use may be achievable but the aging population is likely to demand more blood for nonsurgical indications and efforts should be directed to optimizing use in these recipients. Comparative data on transfusion rates between regions or countries may be a useful tool for improving blood use.
Authors: Koo-Whang Chung; Sridhar V Basavaraju; Yi Mu; Katharina L van Santen; Kathryn A Haass; Richard Henry; James Berger; Matthew J Kuehnert Journal: Transfusion Date: 2016-05-12 Impact factor: 3.157
Authors: Nareg H Roubinian; Gabriel J Escobar; Vincent Liu; Bix E Swain; Marla N Gardner; Patricia Kipnis; Darrell J Triulzi; Jerome L Gottschall; Yan Wu; Jeffrey L Carson; Steven H Kleinman; Edward L Murphy Journal: Transfusion Date: 2014-08-18 Impact factor: 3.157
Authors: Ruchika Goel; Eshan U Patel; Jodie L White; Meera R Chappidi; Paul M Ness; Melissa M Cushing; Clifford M Takemoto; Beth H Shaz; Steven M Frank; Aaron A R Tobian Journal: Transfusion Date: 2018-12-12 Impact factor: 3.157
Authors: Hermann Eichler; Anna Katharina Feyer; Kerstin Weitmann; Wolfgang Hoffmann; Olaf Henseler; Andreas Opitz; Alexander Patek; Detlef Nikolaus Hans; Linda Schönborn; Andreas Greinacher Journal: Transfus Med Hemother Date: 2020-12-23 Impact factor: 3.747
Authors: Kathryn Oakland; Richard Guy; Raman Uberoi; Frances Seeney; Gary Collins; John Grant-Casey; Neil Mortensen; Mike Murphy; Vipul Jairath Journal: BMJ Open Date: 2016-08-04 Impact factor: 2.692
Authors: Loan R van Hoeven; Martine C de Bruijne; Peter F Kemper; Maria M W Koopman; Jan M M Rondeel; Anja Leyte; Hendrik Koffijberg; Mart P Janssen; Kit C B Roes Journal: BMC Med Inform Decis Mak Date: 2017-07-14 Impact factor: 2.796