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An international investigation into O red blood cell unit administration in hospitals: the GRoup O Utilization Patterns (GROUP) study
被引:16
|作者:
Zeller, Michelle P.
[1
,2
]
Barty, Rebecca
[1
]
Aandahl, Astrid
[3
]
Apelseth, Torunn O.
[4
]
Callum, Jeannie
[5
]
Dunbar, Nancy M.
[6
]
Elahie, Allahna
[7
]
Garritsen, Henk
[8
,9
]
Hancock, Helen
[10
]
Kutner, Jose Mauro
[11
]
Manukian, Belinda
[12
]
Mizuta, Shuichi
[13
]
Okuda, Makoto
[14
]
Pagano, Monica B.
[15
]
Poglod, Ryszard
[16
]
Rushford, Kylie
[17
]
Selleng, Kathleen
[18
]
Sorensen, Claess Henning
[19
,20
]
Sprogoe, Ulrik
[19
,20
]
Staves, Julie
[21
]
Weiland, Thorsten
[22
]
Wendel, Silvano
[23
]
Wood, Erica M.
[17
]
van de Watering, Leo
[24
]
van Wordragen-Vlaswinkel, Maria
[25
,26
,27
]
Ziman, Alyssa
[28
]
Zwaginga, Jaap Jan
[25
,26
,27
]
Murphy, Michael F.
[21
]
Heddle, Nancy M.
[1
]
Yazer, Mark H.
[29
,30
]
机构:
[1] McMaster Univ, McMaster Ctr Transfus Res, Hamilton, ON, Canada
[2] Canadian Blood Serv, Ancaster, ON, Canada
[3] Akershus Univ Hosp, Akershus, Norway
[4] Haukeland Hosp, Bergen, Norway
[5] Univ Toronto, Dept Lab Med & Pathobiol, Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada
[6] Dartmouth Hitchcock Med Ctr, Lebanon, NH 03766 USA
[7] Hamilton Hlth Sci, Hamilton, ON, Canada
[8] Municipal Hosp Braunschweig, Inst Clin Transfus Med, Braunschweig, Germany
[9] Helmholtz Ctr Infect Res, Braunschweig, Germany
[10] Univ Cincinnati, Med Ctr, UC Hlth, Cincinnati, OH 45267 USA
[11] Hosp Israelita Albert Einstein, Sao Paulo, Brazil
[12] Univ Florida, UF Hlth Shands Hosp, Gainesville, FL USA
[13] Fujita Hlth Univ Hosp, Toyoake, Aichi, Japan
[14] Toho Univ, Omori Med Ctr, Omori, Japan
[15] Univ Washington, Seattle, WA 98195 USA
[16] Inst Hematol & Transfus Med, Warsaw, Poland
[17] Monash Med Ctr, Clayton, Vic, Australia
[18] Univ Med Greifswald, Greifswald, Germany
[19] Odense Univ Hosp, South Danish Transfus Serv, Odense, Denmark
[20] Odense Univ Hosp, Tissue Ctr, Odense, Denmark
[21] Oxford Univ Hosp NHS Fdn Trust, Oxford, England
[22] MEDILYS Laborgesellschaft, Hamburg, Germany
[23] Sirio Libanes Hosp, Sao Paulo, Brazil
[24] Sanquin, Amsterdam, Netherlands
[25] Leiden Univ, Med Ctr, Leiden, Netherlands
[26] Sanquin Res, Ctr Clin Transfus Res, Leiden, Netherlands
[27] Leiden Univ, Med Ctr, Dept Immunohematol & Blood Transfus, Leiden, Netherlands
[28] Univ Calif Los Angeles, David Geffen Sch Med, Dept Pathol & Lab Med, Wing Kwai & Alice Lee Tsing Chung Transfus Serv, Los Angeles, CA 90095 USA
[29] Univ Pittsburgh, Pittsburgh, PA USA
[30] Inst Transfus Med, Pittsburgh, PA USA
来源:
关键词:
MORTALITY;
D O I:
10.1111/trf.14255
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
BACKGROUNDTransfusion of group O blood to non-O recipients, or transfusion of D- blood to D+ recipients, can result in shortages of group O or D- blood, respectively. This study investigated RBC utilization patterns at hospitals around the world and explored the context and policies that guide ABO blood group and D type selection practices. STUDY DESIGN AND METHODSThis was a retrospective study on transfusion data from the 2013 calendar year. This study included a survey component that asked about hospital RBC selection and transfusion practices and a data collection component where participants submitted information on RBC unit disposition including blood group and D type of unit and recipient. Units administered to recipients of unknown ABO or D group were excluded. RESULTSThirty-eight hospitals in 11 countries responded to the survey, 30 of which provided specific RBC unit disposition data. Overall, 11.1% (21,235/191,397) of group O units were transfused to non-O recipients; 22.6% (8777/38,911) of group O D- RBC units were transfused to O D+ recipients, and 43.2% (16,800/38,911) of group O D- RBC units were transfused to recipients that were not group O D-. Disposition of units and hospital transfusion policy varied within and across hospitals of different sizes, with transfusion of group O D- units to non-group O D- patients ranging from 0% to 33%. CONCLUSIONA significant proportion of group O and D- RBC units were transfused to compatible, nonidentical recipients, although the frequency of this practice varied across sites.
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页码:2329 / 2337
页数:9
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