Jefferson M Jones1, Mathew R P Sapiano1, Sanjida Mowla1,2, Dorothy Bota1,3, James J Berger4, Sridhar V Basavaraju1. 1. Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. 2. Oak Ridge Institute for Science and Education, Atlanta, Georgia, USA. 3. Northrup Grumman Corporation, Atlanta, Georgia, USA. 4. Office of HIV/AIDS and infectious Disease Policy, Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services, Washington, D.C., USA.
Abstract
INTRODUCTION: Previous iterations of National Blood Collection and Utilization Survey (NBCUS) have demonstrated declines in blood collection and transfusion in the United States since 2008, including declines of 3.0% and 6.1% in red blood cell (RBC) collections and transfusions between 2015 and 2017, respectively. This study describes results of the 2019 NBCUS. METHODS: The survey was distributed to all US blood collection centers, all hospitals performing ≥1000 surgeries annually, and a 40% random sample of hospitals performing 100-999 surgeries annually. Weighting and imputation were used to generate national estimates for units of blood and components collected, distributed, transfused, and outdated. RESULTS: In 2019, 11,590,000 RBC units were collected (95% confidence interval [CI], 11,151,000-12,029,000 units), a 5.1% decrease compared with 2017, while 10,852,000 RBC units were transfused (95% CI, 10,444-11,259 units), a 2.5% increase from 2017. Between 2017 and 2019, platelet distributions (2,508,000 units; 95% CI, 2,375,000-2,641,000 units) decreased by 2.0%, and plasma distributions (2,679,000 units; 95% CI, 2,525,000-2,833,000 units) decreased by 16.5%. During the same time period, platelet transfusions (2,243,000 units; 95% CI, 1,846,000-2,147,000 units) increased by 15.8% and plasma transfusions (2,185,000 units; 95% CI, 2,068,000-2,301,000 units) decreased by 8.0%. CONCLUSION: Utilization of RBC in the United States might have reached a nadir. Between 2017 and 2019, RBC collections declined while RBC transfusions did not significantly change, suggesting a narrowing between blood supply and demand. Monitoring national blood collection and utilization data is integral to understanding trends in blood supply safety and availability. Published 2021. This article is a U.S. Government work and is in the public domain in the USA.
INTRODUCTION: Previous iterations of National Blood Collection and Utilization Survey (NBCUS) have demonstrated declines in blood collection and transfusion in the United States since 2008, including declines of 3.0% and 6.1% in red blood cell (RBC) collections and transfusions between 2015 and 2017, respectively. This study describes results of the 2019 NBCUS. METHODS: The survey was distributed to all US blood collection centers, all hospitals performing ≥1000 surgeries annually, and a 40% random sample of hospitals performing 100-999 surgeries annually. Weighting and imputation were used to generate national estimates for units of blood and components collected, distributed, transfused, and outdated. RESULTS: In 2019, 11,590,000 RBC units were collected (95% confidence interval [CI], 11,151,000-12,029,000 units), a 5.1% decrease compared with 2017, while 10,852,000 RBC units were transfused (95% CI, 10,444-11,259 units), a 2.5% increase from 2017. Between 2017 and 2019, platelet distributions (2,508,000 units; 95% CI, 2,375,000-2,641,000 units) decreased by 2.0%, and plasma distributions (2,679,000 units; 95% CI, 2,525,000-2,833,000 units) decreased by 16.5%. During the same time period, platelet transfusions (2,243,000 units; 95% CI, 1,846,000-2,147,000 units) increased by 15.8% and plasma transfusions (2,185,000 units; 95% CI, 2,068,000-2,301,000 units) decreased by 8.0%. CONCLUSION: Utilization of RBC in the United States might have reached a nadir. Between 2017 and 2019, RBC collections declined while RBC transfusions did not significantly change, suggesting a narrowing between blood supply and demand. Monitoring national blood collection and utilization data is integral to understanding trends in blood supply safety and availability. Published 2021. This article is a U.S. Government work and is in the public domain in the USA.
Authors: Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde Journal: J Biomed Inform Date: 2008-09-30 Impact factor: 6.317
Authors: Jeffrey L Carson; Gordon Guyatt; Nancy M Heddle; Brenda J Grossman; Claudia S Cohn; Mark K Fung; Terry Gernsheimer; John B Holcomb; Lewis J Kaplan; Louis M Katz; Nikki Peterson; Glenn Ramsey; Sunil V Rao; John D Roback; Aryeh Shander; Aaron A R Tobian Journal: JAMA Date: 2016-11-15 Impact factor: 56.272
Authors: Ruchika Goel; Meera R Chappidi; Eshan U Patel; Paul M Ness; Melissa M Cushing; Steven M Frank; Aaron A R Tobian Journal: JAMA Date: 2018-02-27 Impact factor: 56.272
Authors: Katherine D Ellingson; Mathew R P Sapiano; Kathryn A Haass; Alexandra A Savinkina; Misha L Baker; Koo-Whang Chung; Richard A Henry; James J Berger; Matthew J Kuehnert; Sridhar V Basavaraju Journal: Transfusion Date: 2017-06 Impact factor: 3.157
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: Jefferson M Jones; Mathew R P Sapiano; Alexandra A Savinkina; Kathryn A Haass; Misha L Baker; Richard A Henry; James J Berger; Sridhar V Basavaraju Journal: Transfusion Date: 2020-02-21 Impact factor: 3.337
Authors: Richard R Gammon; Lizabeth Rosenbaum; Rhonda Cooke; Mark Friedman; Linda Rockwood; Tracie Nichols; Sarah Vossoughi Journal: Transfusion Date: 2020-11-18 Impact factor: 3.337
Authors: George B Schreiber; Mark Becker; Michelle Fransen; Janet Hershman; James Lenart; Guang Song; Toby Simon Journal: Transfusion Date: 2021-08-14 Impact factor: 3.337
Authors: Ruchika Goel; Xianming Zhu; Eshan U Patel; Elizabeth P Crowe; Paul M Ness; Louis M Katz; Evan M Bloch; Aaron A R Tobian Journal: Blood Adv Date: 2021-10-26
Authors: Sanjida J Mowla; Mathew R P Sapiano; Jefferson M Jones; James J Berger; Sridhar V Basavaraju Journal: Transfusion Date: 2021-08-01 Impact factor: 3.337