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Use of half red blood cell units in oncology patients during severe shortages to extend hospital supply.
Zhuang, Lefan; Shan, Haoyue; Yang, Dongyun; Woo, Jennifer; Wang, Shirong; Garcia, Alexander; Jackson, Ryan; Yuan, Shan.
Afiliación
  • Zhuang L; Division of Transfusion Medicine, Department of Pathology, City of Hope National Medical Center, Duarte, California, USA.
  • Shan H; Division of Biostatistics, Department of Computational and Quantitative Medicine, City of Hope National Medical Center, Duarte, California, USA.
  • Yang D; Division of Biostatistics, Department of Computational and Quantitative Medicine, City of Hope National Medical Center, Duarte, California, USA.
  • Woo J; Division of Transfusion Medicine, Department of Pathology, City of Hope Orange County Lennar Foundation Cancer Center, Irvine, California, USA.
  • Wang S; Division of Transfusion Medicine, Department of Pathology, City of Hope National Medical Center, Duarte, California, USA.
  • Garcia A; Division of Transfusion Medicine, Department of Pathology, City of Hope Orange County Lennar Foundation Cancer Center, Irvine, California, USA.
  • Jackson R; Division of Transfusion Medicine, Department of Pathology, City of Hope National Medical Center, Duarte, California, USA.
  • Yuan S; Division of Transfusion Medicine, Department of Pathology, City of Hope National Medical Center, Duarte, California, USA.
Transfusion ; 2024 Aug 05.
Article en En | MEDLINE | ID: mdl-39101530
ABSTRACT

BACKGROUND:

The COVID-19 pandemic exerted an unprecedented impact on the blood supply from 2020 through 2022. As a result, throughout 2021 there were months our hospital had less than one-day supply of type O RBCs. To meet transfusion needs, whole RBC units were split into half units and issued to stable, non-bleeding patients. This single-institution, retrospective study examines time intervals to subsequent transfusion and total numbers of RBC units subsequently transfused after the first half or whole RBC unit. STUDY DESIGN AND

METHODS:

Patients who were transfused RBC between May 21, 2021 and November 1, 2021 were divided into in- and outpatient groups, then based on whether they received at least 1 half RBC unit or only whole RBC units during the study period. The time interval between this first half unit transfusion, or first whole unit transfusion in those who did not receive half units, and the subsequent RBC transfusion within 90 days was calculated and compared, as well as the total number of RBC units transfused 30 days after the first unit.

RESULTS:

In general, patients transfused with half units received a subsequent transfusion significantly earlier than those transfused with whole units. Additionally, receiving an index half unit was associated with more RBC transfusions in the following 30 days (p = .001).

CONCLUSION:

Transfusion of half RBC units during a severe RBC blood shortage can temporarily decrease RBC usage but will result in a shorter interval to the next transfusion and greater total number of RBC units transfused in subsequent days.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Transfusion Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Transfusion Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos