Elmi M, Sirigireddy B, Abukar J, Tchipeva D, Chauhan N, Tsitsikas D A
Haematology & Blood Transfusion Department, Homerton University Hospital NHS Foundation Trust, London, United Kingdom.
PLoS One. 2017 Nov 13;12(11):e0187340. doi: 10.1371/journal.pone.0187340. eCollection 2017.
In the UK, hospitals with annual platelet use of less than 500 pools, like our institution, usually do not store platelets on-site and these are only ordered from the national blood service (NBS) when a transfusion is required. In 2016, we piloted routine on-site storage of one pool of A RhD negative PLT. Data were collected retrospectively on units of PLTs ordered from NBS, units transfused to patients, wastage, requirements for emergency deliveries from NBS and overall cost. These were compared to corresponding data from the four preceding years (2012-2015). There was a 39% reduction in the PLT ordered from NBS in 2016 compared to previous years and a 50% reduction in transfused PLT. Annual wastage for 2016 increased by 23% even though the absolute number of wasted PLT did not alter significantly. Annual cost reduced by 36% in 2016 resulting from reduction in the total amount of PLTs ordered as well as reduction in emergency deliveries.
在英国，像我们机构这样年血小板使用量少于500单位的医院，通常不在现场储存血小板，只有在需要输血时才从国家血液服务机构（NBS）订购。2016年，我们试点了常规现场储存一单位A RhD阴性血小板。对从NBS订购的血小板单位、输给患者的单位、损耗、NBS紧急配送需求以及总成本进行了回顾性数据收集。将这些数据与前四年（2012 - 2015年）的相应数据进行了比较。与前几年相比，2016年从NBS订购的血小板减少了39%，输注的血小板减少了50%。尽管浪费的血小板绝对数量没有显著变化，但2016年的年度损耗增加了23%。由于订购的血小板总量减少以及紧急配送减少，2016年年度成本降低了36%。
