Mark H Yazer1, Bryon Jackson1, Neil Beckman2, Stuart Chesneau2, Patrick Bowler3, Meghan Delaney4, Dana Devine5, Stephen Field6, Marc Germain7, Mike F Murphy8, Merlyn Sayers9, Beth Shaz10, Eilat Shinar11, Minoko Takanashi12, Ralph Vassallo13, Crispin Wickenden8, Vered Yahalom11, Kevin Land14. 1. The Institute for Transfusion Medicine, Pittsburgh, Pennsylvania. 2. Australian Red Cross Blood Service, Melbourne, Victoria, Australia. 3. Irish Blood Transfusion Service, Dublin, Ireland; 4. Bloodworks Northwest, Seattle, Washington. 5. Canadian Blood Services, Vancouver, British Columbia, Canada. 6. Welsh Blood Service, Cardiff, Wales. 7. Héma Québec, Québec City, Quebec, Canada. 8. NHS Blood & Transplant, Oxford, UK. 9. Carter BloodCare and the University of Texas Southwestern, Dallas, Texas. 10. New York Blood Center, New York, New York. 11. Magen David Adom, National Blood Services, Ramat Gan, Israel. 12. Japanese Red Cross, Tokyo, Japan. 13. Blood Systems, Inc, Scottsdale, Arizona. 14. United Blood Services, Scottsdale, Arizona.
Abstract
BACKGROUND: As patient blood management becomes more widespread, fewer red blood cell (RBC) units have been transfused. This multinational study evaluated changes in blood center RBC distributions. STUDY DESIGN AND METHODS: Data on number and ABO and D groups of RBC distributions were obtained from several large American blood centers and national or provincial blood services (NPBS) from fiscal year (FY) 2010 through FY2014. Due to relatively larger numbers of distributions and differences in ABO and D groups between the Japanese Red Cross and the other NPBS, Japanese data were not included in distributions calculations. RESULTS: Data from seven American blood centers and eight NPBS were obtained. Overall, at both the American and the seven NPBS that were analyzed, there were declines in the number of RBC distributions between FY2010 and FY2014, 16.9 and 8.0%, respectively. The number of O- RBC distributions decreased by 9.0% at American blood centers but the proportion of RBC distributions that were O- increased by 9.3% during this time. The NPBS had 1.6% increase in O- RBC distributions and 10.5% increase in the proportion of O- distributions. The proportion of O+ distributions increased slightly over time at American centers (2.9%) while decreasing slightly (1.1%) at NPBS despite reductions in the absolute numbers of O+ distributions. Overall there was 2.6% decrease in the proportion of B+ and AB+ RBCs distributed and 13.6% absolute reduction in the number of these units distributed. CONCLUSION: Although overall RBC distributions have decreased over time, the proportion of O units has increased substantially.
BACKGROUND: As patient blood management becomes more widespread, fewer red blood cell (RBC) units have been transfused. This multinational study evaluated changes in blood center RBC distributions. STUDY DESIGN AND METHODS: Data on number and ABO and D groups of RBC distributions were obtained from several large American blood centers and national or provincial blood services (NPBS) from fiscal year (FY) 2010 through FY2014. Due to relatively larger numbers of distributions and differences in ABO and D groups between the Japanese Red Cross and the other NPBS, Japanese data were not included in distributions calculations. RESULTS: Data from seven American blood centers and eight NPBS were obtained. Overall, at both the American and the seven NPBS that were analyzed, there were declines in the number of RBC distributions between FY2010 and FY2014, 16.9 and 8.0%, respectively. The number of O- RBC distributions decreased by 9.0% at American blood centers but the proportion of RBC distributions that were O- increased by 9.3% during this time. The NPBS had 1.6% increase in O- RBC distributions and 10.5% increase in the proportion of O- distributions. The proportion of O+ distributions increased slightly over time at American centers (2.9%) while decreasing slightly (1.1%) at NPBS despite reductions in the absolute numbers of O+ distributions. Overall there was 2.6% decrease in the proportion of B+ and AB+ RBCs distributed and 13.6% absolute reduction in the number of these units distributed. CONCLUSION: Although overall RBC distributions have decreased over time, the proportion of O units has increased substantially.
Authors: Mathew R P Sapiano; Jefferson M Jones; Alexandra A Savinkina; Kathryn A Haass; James J Berger; Sridhar V Basavaraju Journal: Transfusion Date: 2020-03 Impact factor: 3.337