2020 年 SARS-CoV-2 大流行和内乱对明尼阿波利斯大量输血方案激活的影响。
The effect of the SARS-CoV-2 pandemic and civil unrest on massive transfusion protocol activations in Minneapolis 2020.
机构信息
Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota, USA.
Department of Physician Services, Memorial Blood Centers, Division of New York Blood Center enterprises, Saint Paul, Minnesota, USA.
出版信息
Transfusion. 2021 Aug;61(8):2250-2254. doi: 10.1111/trf.16527. Epub 2021 May 28.
BACKGROUND
The year 2020 presented the transfusion community with unprecedented events and challenges, including the ongoing SARS-CoV-2 (COVID-19) pandemic, and more recently by civil unrest, following the death of George Floyd in late May of 2020. As a level 1 trauma center located in Minneapolis, Minnesota, Hennepin Healthcare (HCMC) offers a unique perspective into the changes in massive transfusion protocol (MTP) activations and usage during this tumultuous period. This may provide insight for addressing similar future events.
STUDY DESIGN AND METHODS
MTP logs from March 2020 to August 2020 were compared to logs from March to August 2019. The data were de-identified, and MTP activations and component usage were categorized by activation reason. These categories were compared across the 2-year period to examine the impact of COVID-19, including stay-at-home orders, and civil unrest.
RESULTS
For the examined 6 months of the year 2020, there were a total of 140 MTP activations, compared to 143 in 2019. There were more activations for violent trauma (VT) in 2020 than 2019 (44 vs. 32). This increase in activations for VT was offset by a decrease in non-trauma activations (54 vs. 66). There was a significant increase in the number of components used in VT activations.
DISCUSSION
During 2020, the initial mild decrease in MTP activations was followed by a dramatic increase in the number of activations and component usage for VT in June and July of that year.
背景
2020 年为输血界带来了前所未有的事件和挑战，包括持续的严重急性呼吸系统综合征冠状病毒 2（COVID-19）大流行，以及 2020 年 5 月下旬乔治·弗洛伊德去世后发生的内乱。作为明尼苏达州明尼阿波利斯市的一家一级创伤中心，亨内平县医疗中心（HCMC）为了解大规模输血方案（MTP）在这一动荡时期的激活和使用变化提供了独特的视角。这可能为应对类似的未来事件提供参考。
研究设计和方法
将 2020 年 3 月至 8 月与 2019 年 3 月至 8 月的 MTP 记录进行比较。对数据进行去识别处理，并根据激活原因对 MTP 激活和成分使用进行分类。在这两年期间对这些类别进行比较，以检查 COVID-19 的影响，包括居家令和内乱。
结果
在所研究的 2020 年 6 个月中，共有 140 次 MTP 激活，而 2019 年为 143 次。2020 年暴力创伤（VT）的激活次数多于 2019 年（44 次比 32 次）。VT 激活次数的增加被非创伤性激活次数的减少所抵消（54 次比 66 次）。VT 激活中使用的成分数量显著增加。
讨论
2020 年，MTP 激活的初始轻度减少之后，6 月和 7 月 VT 激活的次数和成分使用量急剧增加。
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