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：

TRANSFUSION | 2017年 / 57卷 / 10期

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

页码：2329 / 2337

页数：9

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