Blood security and management of transfusion-dependent thalassaemia (TDT) patients in Nanning: analysis of " collection-based-supply" blood management mode
10.13303/j.cjbt.issn.1004-549x.2024.05.013
- VernacularTitle:南宁市输血依赖性地中海贫血(TDT)患者血液保障及“以供定采”管理分析
- Author:
Mei YU
1
,
2
;
Yang CHEN
1
,
3
;
Xian LI
1
;
Qiuhong MO
1
;
Linbin HUANG
1
;
Xipeng YAN
1
;
Baoren HE
1
;
Bin LI
1
;
Limin CHEN
1
,
4
Author Information
1. Naning Blood Center, Nanning 530007, China
2. Fourth People′s Hospital of Nanning
3. Nanning Health Talent and Technical Service Center
4. Institute of Blood Transfusion, Chinese Academy of Medical Sciences & Peking Union Medical College
- Publication Type:Journal Article
- Keywords:
transfusion-dependent thalassemia(TDT);
blood supply assurance;
"three-designated" blood transfusion mode;
"supply-based-collection" blood supply mode;
Nanning
- From:
Chinese Journal of Blood Transfusion
2024;37(5):567-574
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To retrospectively analyze the blood use of transfusion-dependent thalassemia (TDT) patients in 9 designated transfusion medical institutions from 2018 to 2023 in Nanning, and to evaluate the effect of " three designated " blood transfusion mode (hereby means TDT patients undergoing blood transfusion in designated transfusion medical institutions regularly) and " collection-based-supply" blood management mode on blood security of TDT patients. 【Methods】 The " three designated" blood transfusion mode was implemented to ensure that TDT patients registered in the local household registration (referred to as the " register" ) obtain the rights and interests of outpatient transfusion and blood security of designated medical institutions. The " collection-based-supply" blood management mode was implemented to assess the blood needs of "register" TDT patients and meet their needs to the maximum extent according to the blood inventory (collection). 【Results】 From 2018 to 2023, the total blood supply of "register" TDT patients was 10.37% of the total red blood supply of all medical institutions (138 509.5 U /1 335 788.0 U), with the highest proportion of type O blood as 46.34% (64 181.0 U/138 509.5 U) and the lowest proportion of type AB blood as 3.85% (5 331.0 U/138 509.5 U). In 2018, 9 transfusion medical institutions were designated for TDT patients.There were a total of 766 TDT patients in the register, with the per capita annual blood transfusion volume increased from 20.28 U (15 531.0 U/766 patients) in 2018 to 36.01 U (27 586.0 U/766 patients) in 2023, maintaining a positive growth every year(30.26%, 4.94%, 11.71%, 8.61%, 4.94% and 7.10%). 【Conclusion】 The " three designated" blood transfusion mode and the " collection-based-supply " blood management mode can effectively guarantee the blood supply of TDT patients.
