Banco de Sangre y Tejidos de Navarra, Servicio Navarro Salud, Grupo Español de Rehabilitación Multimodal (GERM), IACS, Zaragoza, Grupo IdiPaz. Madrid, 31008 Pamplona, Spain.
Servicio Hematología y Hemoterapia, Universitario Marqués de Valdecilla, 39003 Santander, Spain.
Int J Environ Res Public Health. 2021 Mar 27;18(7):3480. doi: 10.3390/ijerph18073480.
Worldwide, the COVID-19 pandemic has caused a decline in blood donations, between 30% and 70% in some of the most affected countries. In Spain, during the initial eight weeks after the State of Emergency was decreed on 14 March 2020, in the weekly reports of the Health Ministry, an average decrease of 20% was observed between 11 and week 25 compared with the 2018 donation. We aimed to investigate the impact of the COVID-19 pandemic on blood donations and blood distribution in four autonomous communities, and to explore the evolution of the consumption of blood components (BCs) in ten hospitals of six autonomous communities. We performed a prospective study of grouped cohorts on the donation and distribution of blood in four regional transfusion centers in four autonomous communities in Spain, and a retrospective study of the consumption of blood components in ten hospitals in six autonomous communities. Regarding donations, there was no significant decrease in donations, with differences between autonomous communities, which started between 1 and 15 March 2020 (-11%). The increase in donations in phase II (from 26 May 2020) stands out. Regarding consumption, there was a significant reduction in the consumption of packed red blood cells (RBCs) (24.5%), plasma (45.3%), and platelets (25.3%) in the central period (16 March-10 May). The reduction in the consumption of RBCs was significant in the period from 1-15 March. Conclusions: The COVID-19 pandemic has affected the donation and consumption of BCs.
在全球范围内，COVID-19 大流行导致一些受影响最严重的国家的献血量下降了 30%至 70%。在西班牙，2020 年 3 月 14 日宣布紧急状态后的最初八周内，卫生部每周报告显示，与 2018 年相比，11 周至 25 周期间平均下降了 20%。我们旨在调查 COVID-19 大流行对四个自治区的献血和血液分布的影响，并探索十个自治区六所医院的血液成分（BC）消耗的演变。我们在西班牙四个自治区的四个区域输血中心进行了分组队列的前瞻性研究，对六个自治区的十个医院的血液成分消耗进行了回顾性研究。关于献血，献血量没有明显下降，自治区之间存在差异，这种差异始于 2020 年 3 月 1 日至 15 日（下降 11%）。第二阶段（从 2020 年 5 月 26 日开始）的献血量增加尤为明显。关于消耗，在中央期（3 月 16 日至 5 月 10 日），浓缩红细胞（RBC）（24.5%）、血浆（45.3%）和血小板（25.3%）的消耗显著减少。RBC 消耗在 3 月 1 日至 15 日期间显著减少。结论：COVID-19 大流行影响了 BC 的捐献和消耗。
