Department of Laboratory Medicine, Kangdong Sacred Heart Hospital, Seoul, Korea.
Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Ann Lab Med. 2022 Jan 1;42(1):105-109. doi: 10.3343/alm.2022.42.1.105.
The number of ABO-incompatible solid organ transplantations (ABOi SOTs) has markedly increased worldwide since the early 2000s. We investigated the choice of ABO group for blood component transfusion in ABOi SOT. We conducted a survey by e-mailing a questionnaire to blood bank specialists at 77 major hospitals in Korea, among whom 34 responded to the survey. In major ABOi SOT, for red blood cells (RBCs), the recipient's type (70.6%) was the most common choice, followed by group O (29.4%); for platelets, group AB (50.0%) was the most common choice, followed by the donor type (38.2%); for plasma, group AB (55.9%) was the most common choice, followed by the donor type (32.4%). In bidirectional ABOi SOT, for RBCs, the recipient's type (55.9%) was the most common choice, followed by group O (44.1%); for platelets and plasma, group AB was the most common choice (94.1% and 97.1%, respectively). The policies for transfusion in ABOi SOT were diverse. We suggest a guideline on the choice of ABO group for transfusion in ABOi SOT to secure patient health and enable an efficient use of blood components.
自 21 世纪初以来，全球 ABO 不相容实体器官移植（ABOi SOT）的数量显著增加。我们研究了 ABOi SOT 中血液成分输注的 ABO 组选择。我们通过向韩国 77 家主要医院的血液库专家发送电子邮件问卷进行了一项调查，其中 34 名专家对调查做出了回应。在主要的 ABOi SOT 中，对于红细胞（RBC），受者血型（70.6%）是最常见的选择，其次是 O 型血（29.4%）；对于血小板，AB 型血（50.0%）是最常见的选择，其次是供者血型（38.2%）；对于血浆，AB 型血（55.9%）是最常见的选择，其次是供者血型（32.4%）。在双向 ABOi SOT 中，对于 RBC，受者血型（55.9%）是最常见的选择，其次是 O 型血（44.1%）；对于血小板和血浆，AB 型血是最常见的选择（94.1%和 97.1%）。ABOi SOT 中的输血政策多种多样。我们建议制定 ABOi SOT 中输血的 ABO 组选择指南，以确保患者健康并能够有效利用血液成分。
