Clinical Blood Utilization of Patients at Different Ages for a Hospital in Sichuan from 2017 to 2018.
10.19746/j.cnki.issn.1009-2137.2021.02.050
- Author:
Rong ZHANG
1
;
Jia LIN
2
;
Yi HE
2
;
Hong YUAN
3
Author Information
1. College of Medical Technology, Chengdu University of Traditional Chinese Medicine, Chengdu 610075, Sichuan Province, China.
2. Department of Blood Transfusion, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan Province, China.
3. Department of Blood Transfusion, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan Province, China,E-mail:10336602@qq.com.
- Publication Type:Journal Article
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Blood Component Transfusion;
Blood Transfusion;
Hospitals;
Humans;
Middle Aged;
Plasma;
Retrospective Studies
- From:
Journal of Experimental Hematology
2021;29(2):620-628
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To analyze the use of blood products in patients at different ages.
METHODS:The clinical datas of the 10 784 patients transfused in Sichuan provincial people's hospital at 2017-2018 were retrospectively analyzed, and the basic condition of clinical blood using was statistically described. The patients were divided into the groups according to age and disease, then the use of various blood products in the patients with different diseases in different age groups was analyzed.
RESULTS:The age of blood transfusion patients was mainly 40-80 years old, and the most common disease was tumor(about 28%). The average annual transfusion volumes of red blood cells(RBC) were 24 936.5 U, of platelets(PLT) were 3 795 therapeutic doses of plasma were 2 455 500 ml, of cryoprecipitate were 3 461.5 U in our hospital. Most patients with hematologic malignancies and liver cirrhosis were transfused with two or more blood productions. For the patients with hematologic malignancies, the irradiated RBC (76.4%), PLT (67.8%), and suspended RBC (59.9%) were commonly used. And for liver cirrhosis patients, the suspended RBC (64.2%) and fresh frozen plasma(FFP) (59.4%) were commonly used. For the patients with trauma and chronic kidney disease(CKD), the suspended RBC (95.7% and 91.5%, respectively) was commonly used. In hematologic malignancies patients, the transfusion volume of irradiated RBC, PLT and FFP in the patients aged ≥60 years old was lower than that in patients aged<60 years old (P<0.05); in trauma patients, the transfusion volume of suspended RBC in the patients aged ≥60 years old was lower than that in patients aged<60 years old (P<0.05). In hematologic malignancies, trauma and liver cirrhosis patients, the proportion of PLT and/or plasma transfusion in the patients aged ≥60 years old was lower than that in patients aged<60 years old (P<0.05), and the elderly patients were more likely to receive RBC transfusion only.
CONCLUSION:There is a difference in the distribution of blood product between the patients aged<60 years old and ≥60 years old in the same disease, and it is more likely that the elderly patients (aged ≥60 years old) receive RBC transfusion only, and correction of hypoxia is a major clinical consideration, so blood using plans should be made according to the patient population, moreover, the different transfusion strategies should be developed for different population to maximize the efficiency of blood using.