Agrawal Samir, Davidson Neville, Walker Mel, Gibson Sian, Lim Christina, Morgan Christopher Ll, Cowell Warren
Department of Haematological Oncology, St. Bartholomew's Hospital (Queen Mary University of London), London, UK.
Curr Med Res Opin. 2006 Oct;22(10):1903-9. doi: 10.1185/030079906X132532.
To determine direct costs associated with a blood transfusion session in two hospital settings.
The study was conducted in two United Kingdom hospital sites during April 2004. Transfusion sessions for patients receiving units of red blood cells within either haematology or oncology departments were followed using time and motion techniques to measure the direct costs. Other data were collected from the centres to calculate the cost of disposables, blood wastage and blood bank machines.
Total mean staff cost per transfusion of 2 units was 37.24 pounds sterling (9.68 pounds sterling for blood bank and 27.56 pounds sterling for ward procedures). The mean cost of disposables was 13.25 pounds sterling and the mean cost for blood products was 287.56 pounds sterling. The mean cost of wastage was 11.86 pounds sterling per transfusion. After including other derived costs, such as hospital stay, the mean cost for a transfusion of 2 units of blood was estimated to be 546.12 pounds sterling.
This study estimates the cost of an average blood transfusion of 2 units to be 546.12 pounds sterling. It should be noted that significant indirect costs, such as those incurred by patients, their carers and societal costs, have not been considered. Against the background of finite blood resources and other factors such as patient quality of life, blood transfusion may not represent the best choice for patient care. Alternative treatments should be considered.
确定在两种医院环境下与一次输血治疗相关的直接成本。
该研究于2004年4月在英国的两家医院进行。采用时间与动作研究技术对血液学或肿瘤学部门接受红细胞单位输注的患者的输血治疗进行跟踪，以测量直接成本。从各中心收集其他数据，以计算一次性用品、血液浪费和血库机器的成本。
每输注2个单位血液的平均总员工成本为37.24英镑（血库9.68英镑，病房操作27.56英镑）。一次性用品的平均成本为13.25英镑，血液制品的平均成本为287.56英镑。每次输血的平均浪费成本为11.86英镑。纳入其他衍生成本（如住院费用）后，输注2个单位血液的平均成本估计为546.12英镑。
本研究估计输注2个单位血液的平均成本为546.12英镑。应当指出的是，未考虑患者、其护理人员产生的重大间接成本以及社会成本。在血液资源有限以及患者生活质量等其他因素的背景下，输血可能并非患者护理的最佳选择。应考虑替代治疗方法。
