| The epidemiology of blood component transfusion in Catalonia, Northeastern Spain. | |
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MedLine Citation:
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PMID: 20663112 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND: Epidemiologic information on blood component usage can help improve the utilization of transfusion resources. STUDY DESIGN AND METHODS: Crosssectional survey in 2007 that included every hospital in Catalonia. Clinical data of blood recipients, including the four-digit International Classification of Diseases, 9th Revision, Clinical Modification codes and the indication for transfusion, were prospectively collected according to an established protocol. RESULTS: In total, 19,148 red blood cell (RBC) units, 1812 platelet (PLT) doses, and 3070 plasma units, transfused into 8019 patients (median age, 71 years; 52% males), were surveyed. Half the RBC units were used by patients older than 70 years. Specific diagnosis and procedures with the highest RBC use were lower limb orthopedic surgery (10.6% of all units) and gastrointestinal hemorrhage (6%). Therapeutic plasmapheresis (8.1%) and heart valve surgery (7.2%) were the procedures with the highest plasma use. Oncohematology patients accounted for 73% of transfused PLTs, more that two-thirds being administered for hemorrhage prophylaxis. Acute hemorrhage was the most common indication for RBC and plasma transfusion. Among all blood recipients, 80% received only RBCs and 6.9% received only plasma and/or PLTs, without concomitant RBCs. The population transfusion incidence rates were 35 RBC units, three PLT doses, and 6 plasma units per 1000 population-year. Demographic changes anticipate a 30% increase in RBC transfusion by year 2030. CONCLUSIONS: These results allow for identification of blood uses that are susceptible to improvement, help appraise the expected yield of blood safety measures, and will assist in planning the future blood supply. |
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Authors:
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M Alba Bosch; Enric Contreras; Pedro Madoz; Pilar Ortiz; Arturo Pereira; M Mar Pujol; |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Transfusion Volume: 51 ISSN: 1537-2995 ISO Abbreviation: Transfusion Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-01-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0417360 Medline TA: Transfusion Country: United States |
Other Details:
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Languages: eng Pagination: 105-16 Citation Subset: IM |
Copyright Information:
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© 2010 American Association of Blood Banks. |
Affiliation:
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Banc de Sang i Teixits, Barcelona, Spain. |
Export Citation:
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Descriptor/Qualifier:
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| Investigator | |
Investigator/Affiliation:
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Iñaki Alkorta / ; Enriqueta Alomar / ; Albert Altes / ; Javier Ameigeiras / ; Isabel Badell / ; Rosa Brugués / ; Juan Carlos Bermejo / ; Antonio Blanco / ; Claudi Bofill / ; Alba Bosch / ; Virginia Callao / ; Marina Carrasco / ; Francesc Casals / ; Dolors Castellà / ; Enric Contreras / ; Llorenç Font / ; Jordi Fornells / ; José García / ; Marta García / ; Anna González / ; Isabel González / ; Joan Ramon Grífols / ; German de las Heras / ; Maria del Mar Hermosilla / ; Carmen Jiménez / ; Mercè Lopez / ; Ramón López / ; Miguel Lozano / ; Armando Luaña / ; Rafael Lluna / ; Pedro Madoz / ; Rosa Manteiga / ; Lluís Massuet / ; Roberto Mazzara / ; Africa Mellado / ; Artur Oliver / ; Pere Pallarés / ; Francisco de Paula Ribas / ; Arturo Pereira / ; Joan Peris / ; Agustí Peró / ; Joan Profitós / ; María del Mar Pujol / ; Olga Ramon / ; Elena Revilla / ; Immaculada Roig / ; Pilar Romero / ; Montserrat Saez / ; Ramón Salinas / ; Juan Manuel Sánchez / ; Teresa Sans / ; Miguel Angel Sanz / ; Josep Ma Segalès / ; Angèlica Serra / ; Albert Vallès / ; Dolors Vela / ; Antonio Yuste / ; Jordi Zaragoza / |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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