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
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.
引用
收藏
页码:2329 / 2337
页数:9
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