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Streel C, Pouplard M, Laporte F, Bertrand O, Luyten U, Pirlet C, Khaouch Y, Deneys V. There is an urgent need to adopt a pull-flow logic for the supply of RBCs to meet patients' needs: A single center study. Transfus Clin Biol 2023; 30:410-416. [PMID: 37451610 DOI: 10.1016/j.tracli.2023.06.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2023] [Revised: 06/30/2023] [Accepted: 06/30/2023] [Indexed: 07/18/2023]
Abstract
BACKGROUND Despite major demographic changes, several decisions and initiatives, among which Patient Blood Management, have led to a significant reduction in the transfusion of packed red blood cells (RBCs) in Belgium, as it has been observed in many countries. Unfortunately, not all blood groups were proportionately impacted and shortage in O D-negative RBCs is regularly or chronically observed. The goal of this study was to examine how to optimize the use and the supply of O D-negative blood in our academic hospital. METHODOLOGY All blood transfusions performed at Cliniques universitaires Saint-Luc between January 1, 2019 and December 31, 2021 were reviewed. The blood group of the patients was compared with the blood group of the RBCs actually supplied and transfused. RESULTS 49.823 RBCs transfusions were analyzed. The patients' needs didn't reflect those of a Caucasian population, with an increase of O (47.9%) and B (10.3%) for the ABO blood group, and a quite high proportion of R0r (8.6%) for the Rh blood group. Only two thirds of O D-negative RBCs were transfused to O rr or R0r patients. CONCLUSION The application of PBM and the ethnic imbalance between blood donor and patient populations are two important risk factors for chronic shortages of O D-negative blood. To adapt blood component resources, it is essential to have a complete picture of the real needs of patients according to their blood group profile. Blood donor centers must adapt to the evolving needs of hospitals in order to plan future supplies in a "pull-flow" approach.
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Affiliation(s)
- Corentin Streel
- Blood Transfusion Service, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium; Institute of Experimental and Clinical Research, UCLouvain, 1200 Brussels, Belgium
| | - Marie Pouplard
- Blood Transfusion Service, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium
| | | | | | - Urszula Luyten
- Blood Transfusion Service, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium
| | - Christine Pirlet
- Blood Transfusion Service, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium
| | - Youssra Khaouch
- Blood Transfusion Service, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium
| | - Véronique Deneys
- Blood Transfusion Service, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium; Institute of Experimental and Clinical Research, UCLouvain, 1200 Brussels, Belgium.
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2
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Ilmakunnas M, Salmela K, Kivipuro T, Sareneva H, Sainio S. Use of O
RhD
‐negative red blood cells: A nationwide, prospective audit. Vox Sang 2022; 117:1279-1286. [DOI: 10.1111/vox.13357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 08/17/2022] [Accepted: 08/19/2022] [Indexed: 11/27/2022]
Affiliation(s)
- Minna Ilmakunnas
- Department of Anesthesiology and Intensive Care Medicine Helsinki University Hospital and University of Helsinki Helsinki Finland
- Meilahti Hospital Blood Bank, Department of Clinical Chemistry, HUS Diagnostic Center Helsinki University Hospital and University of Helsinki Helsinki Finland
| | - Katja Salmela
- Meilahti Hospital Blood Bank, Department of Clinical Chemistry, HUS Diagnostic Center Helsinki University Hospital and University of Helsinki Helsinki Finland
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3
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Moiz B, Ali A, Qadir H, Khalid A. A clinical audit on the utilization of group O-negative red cells and the lesson learnt. Asian J Transfus Sci 2022. [DOI: 10.4103/ajts.ajts_170_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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4
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Ou-Yang J, Huang XY, Fu YS, Dai L, Zhong HB, Jiang J, Liang HQ. Effects of message framing on recruiting Rh-D-negative blood donors in an emergency situation: Two randomized trials. Br J Health Psychol 2021; 27:406-433. [PMID: 34337827 DOI: 10.1111/bjhp.12551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Revised: 06/17/2021] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Prospect theory categorizes message framing according to whether it emphasizes a possible loss or a possible gain. Promotions of blood donation worldwide mainly focus on gain-framed appeal. The objective of the current study is to examine the effects of message framing on recruiting Rh-D-negative blood donors (RDNBDs) in an emergency situation. DESIGN Two randomized trials. METHODS In Study 1, 813 group O and 500 group B RDNBDs were randomly assigned to three groups receiving three different recruitment text messages: (1) gain-framed, (2) loss-framed, and (3) information messages. In addition, 613 group A and 148 group AB RDNBDs were marked as (4) no message group. In Study 2, 758 RDNBDs were randomly provided one of two versions of materials focusing on either the possible survival (gain-framed) or the death (loss-framed) of a Rh-D-negative patient needed a blood transfusion. These participants then completed a questionnaire to examine the possible mechanisms underlying the observed effects. RESULTS Compared to not receiving any message, significantly more RDNBDs re-donated within 14 days after they received a loss-framed message. Study 2 found that RDNBDs who read the loss-framed material expressed more willingness to donate immediately than those who read the gain-framed material. RDNBDs with high-risk perception expressed a greater blood donation intention in the loss-framed group. The loss-framed message made participants perceive others' needs more strongly, which generated more empathy, and thus increased blood donation intention. CONCLUSIONS The results suggested that recruiting RDNBDs using a loss-framed message is suitable under an emergency.
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Affiliation(s)
- Jian Ou-Yang
- Guangzhou Blood Center, Guangzhou, China.,The Key Medical Disciplines and Specialties Program of Guangzhou, China
| | - Xiao-Ying Huang
- Guangzhou Blood Center, Guangzhou, China.,The Key Medical Disciplines and Specialties Program of Guangzhou, China
| | - Yong-Shui Fu
- Guangzhou Blood Center, Guangzhou, China.,The Key Medical Disciplines and Specialties Program of Guangzhou, China.,School of Laboratory Medicine and Biotechnology, Southern Medical University, Guangzhou, China
| | - Lin Dai
- Guangzhou Blood Center, Guangzhou, China.,The Key Medical Disciplines and Specialties Program of Guangzhou, China
| | - Hui-Bin Zhong
- Guangzhou Blood Center, Guangzhou, China.,The Key Medical Disciplines and Specialties Program of Guangzhou, China
| | - Jin Jiang
- Guangzhou Blood Center, Guangzhou, China.,The Key Medical Disciplines and Specialties Program of Guangzhou, China
| | - Hua-Qin Liang
- Guangzhou Blood Center, Guangzhou, China.,The Key Medical Disciplines and Specialties Program of Guangzhou, China
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5
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Chhibber VG, Fischman J, Benedetto AT, Nikolis NM, Indrikovs AJ, Shariatmadar S. How do I manage O- red blood cell inventory. Transfusion 2020; 60:1356-1363. [PMID: 32500565 DOI: 10.1111/trf.15849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Revised: 04/02/2020] [Accepted: 04/02/2020] [Indexed: 11/28/2022]
Abstract
Currently there are no widely accepted guidelines regarding the appropriate use of O- red blood cells (RBCs). Although there has been a decline in overall RBC utilization since 2010, the use of O- RBCs has continued to proportionally increase over this time period resulting in frequent shortages. When faced with these shortages, we implemented some simple strategies that resulted in a significant decrease in annual O- RBC utilization from 10% to 7.5% despite an increase in total RBC utilization. These strategies included collaboration with the clinical staff, improving practices within the blood bank, and having our health system partner with our blood supplier. Herein, we detail our strategies for hospital transfusion services to improve O- RBC utilization. Most of these can be easily implemented and do not require additional resources.
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Affiliation(s)
| | - Jane Fischman
- North Shore University Hospital, Manhasset, New York, USA
| | | | | | | | - Sherry Shariatmadar
- Northwell Health, Manhasset, New York, USA.,North Shore University Hospital, Manhasset, New York, USA
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Patterson JA, Hirani R, Irving DO, Nicholl MC, Ford JB. Comparison of group O Rh(D)- red blood cell use in pregnant women across hospitals of various sizes and obstetric capabilities prior to the introduction of patient blood management guidelines. Aust N Z J Obstet Gynaecol 2019; 60:498-503. [PMID: 31368110 DOI: 10.1111/ajo.13043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2019] [Accepted: 07/01/2019] [Indexed: 10/26/2022]
Abstract
BACKGROUND O Rh(D)- red blood cell (RBC) units can generally be transfused to most patients regardless of their ABO blood type and are frequently used during emergency situations. Detailed usage patterns of O Rh(D)- RBC units in obstetric populations have not been well characterised. With the introduction of patient blood management guidelines, historical usage patterns are important for providing comparative data. AIMS To determine how the use of O Rh(D)- RBC units in pregnant women differs between hospitals of different sizes and obstetric capabilities prior to patient blood management guidelines. METHODS Data from 67 New South Wales public hospital blood banks were linked with hospital and perinatal databases to identify RBC transfusions during pregnancy, birth and postnatally between July 2006 and December 2010. RBC transfusions were divided into O Rh(D)- or other blood types. Hospitals were classified according to birth volume, obstetric capability and location, with transfusions classified by timing and diagnosis. RESULTS Of the 12 078 RBC units transfused into pregnant women, 1062 (8.8%) were O Rh(D)-. Higher use of O Rh(D)- RBC units was seen in antenatal transfusions, preterm deliveries and in regional or smaller hospitals. There was wide variation in rates of O Rh(D)- RBC transfusion among hospitals. CONCLUSIONS The rate of O Rh(D)- RBC unit use in obstetrics was lower during the period assessed than the nationally reported usage. It is encouraging that O Rh(D)- RBCs were more commonly used in emergency or specialised situations, or in facilities where holding a large blood inventory is not feasible.
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Affiliation(s)
- Jillian A Patterson
- Clinical and Population Perinatal Health Research, The University of Sydney Northern Clinical School, Sydney, New South Wales, Australia.,Northern Sydney Local Health District, Kolling Institute, Sydney, New South Wales, Australia
| | - Rena Hirani
- Research and Development, Australian Red Cross Blood Service, Sydney, New South Wales, Australia
| | - David O Irving
- Research and Development, Australian Red Cross Blood Service, Sydney, New South Wales, Australia.,University of Technology, Sydney, New South Wales, Australia
| | - Michael C Nicholl
- University of Sydney, Sydney, New South Wales, Australia.,Maternal Neonatal and Women's Health Network, Northern Sydney Local Health District, Sydney, New South Wales, Australia.,Department of Obstetrics and Gynaecology, Royal North Shore Hospital, Northern Sydney Local Health District, Sydney, New South Wales, Australia
| | - Jane B Ford
- Clinical and Population Perinatal Health Research, The University of Sydney Northern Clinical School, Sydney, New South Wales, Australia.,Northern Sydney Local Health District, Kolling Institute, Sydney, New South Wales, Australia
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Zeller MP, Barty R, Aandahl A, Apelseth TO, Callum J, Dunbar NM, Elahie A, Garritsen H, Hancock H, Kutner JM, Manukian B, Mizuta S, Okuda M, Pagano MB, Pogłód R, Rushford K, Selleng K, Sørensen CH, Sprogøe U, Staves J, Weiland T, Wendel S, Wood EM, van de Watering L, van Wordragen‐Vlaswinkel M, Ziman A, Jan Zwaginga J, Murphy MF, Heddle NM, Yazer MH. An international investigation into O red blood cell unit administration in hospitals: the GRoup O Utilization Patterns (GROUP) study. Transfusion 2017; 57:2329-2337. [DOI: 10.1111/trf.14255] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2017] [Revised: 05/11/2017] [Accepted: 05/14/2017] [Indexed: 10/19/2022]
Affiliation(s)
- Michelle P. Zeller
- McMaster Centre for Transfusion ResearchMcMaster UniversityHamilton Ontario Canada
- Canadian Blood ServicesAncaster Ontario Canada
| | - Rebecca Barty
- McMaster Centre for Transfusion ResearchMcMaster UniversityHamilton Ontario Canada
| | | | | | - Jeannie Callum
- Sunnybrook Health Sciences Centre, Department of Laboratory Medicine and Pathobiology, University of TorontoToronto Ontario Canada
| | | | | | - Henk Garritsen
- Institute for Clinical Transfusion MedicineMunicipal Hospital Braunschweig
- Helmholtz Centre for Infection ResearchBraunschweig Germany
| | - Helen Hancock
- UC Health, University of Cincinnati Medical CenterCincinnati Ohio
| | | | - Belinda Manukian
- UF Health Shands HospitalUniversity of FloridaGainsville Florida
| | | | | | | | - Ryszard Pogłód
- Institute of Hematology and Transfusion MedicineWarsaw Poland
| | | | | | | | - Ulrik Sprogøe
- South Danish Transfusion Service & Tissue CenterOdense University HospitalOdense Denmark
| | - Julie Staves
- Oxford University Hospitals NHS Foundation TrustOxford United Kingdom
| | | | | | | | | | - Maria van Wordragen‐Vlaswinkel
- Leiden University Medical Center and Center for Clinical Transfusion ResearchSanquin Research, and the Department of Immunohematology and Blood Transfusion, Leiden University Medical CenterLeiden The Netherlands
| | - Alyssa Ziman
- Wing‐Kwai and Alice Lee‐Tsing Chung Transfusion Service, Department of Pathology and Laboratory Medicine, David Geffen School of Medicine, University of California at Los AngelesLos Angeles, California
| | - Jaap Jan Zwaginga
- Leiden University Medical Center and Center for Clinical Transfusion ResearchSanquin Research, and the Department of Immunohematology and Blood Transfusion, Leiden University Medical CenterLeiden The Netherlands
| | - Michael F. Murphy
- Oxford University Hospitals NHS Foundation TrustOxford United Kingdom
| | - Nancy M. Heddle
- McMaster Centre for Transfusion ResearchMcMaster UniversityHamilton Ontario Canada
| | - Mark H. Yazer
- University of Pittsburgh and the Institute for Transfusion MedicinePittsburgh Pennsylvania
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