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在 COVID-19 大流行的第一年,利用自动化管理供体参与度并微调供需。

Using automation to manage donor engagement and fine-tune supply and demand during the first year of the COVID-19 pandemic.

机构信息

Gulf Coast Regional Blood Center, 1400 La Concha Ln, Houston, TX 77054, USA.

Terumo Blood and Cell Technologies, 10811 West Collins Ave Lakewood, CO 80215, USA.

出版信息

Transfus Apher Sci. 2022 Aug;61(4):103420. doi: 10.1016/j.transci.2022.103420. Epub 2022 Mar 5.

Abstract

BACKGROUND

COVID-19 disrupted blood center operations starting March 2020 and continues to affect donor presentation and blood availability today. The industry mobilized significant resources to collect COVID-19 convalescent plasma (CCP) to treat COVID-19 patients. At the same time, blood centers continued to collect platelets, plasma, and red blood cells (RBCs) to meet the needs of non-COVID-19 patients. The purpose of this study was to quantify how automation was used to fine-tune supply and demand and increase donor engagement during the first year of the pandemic.

METHODS

This was a single-center retrospective study of blood collection and donor presentation at a mid-sized US blood center. Data was evaluated from January 1, 2020 through March 31, 2021. Parameters evaluated included donor presentation, platelets per procedure, concurrent RBC and plasma collections per procedure, operator compliance, total donor appointment count, and donor frequency.

RESULTS

With the cancelation of mobile blood drives, fixed sites increased total apheresis procedures by 37% and increased turns per bed by 46% whereas less products were collected per donor. By collecting only what was needed, platelet expiration rate decreased from 6.8% (pre-pandemic) to less than 4%. Donor engagement as measured by donor frequency increased from 1.6 in January 2020 to 1.8 in March 2021.

CONCLUSIONS

Using technological advances such as automated blood collection and information systems, the blood center improved donor engagement and avoided collecting a surplus of any one type of blood product over the course of the pandemic.

摘要

背景

COVID-19 于 2020 年 3 月开始扰乱血库的运营,并一直持续到今天影响供者的出席率和血液供应。该行业调动了大量资源收集 COVID-19 恢复期血浆(CCP)以治疗 COVID-19 患者。与此同时,血库继续采集血小板、血浆和红细胞(RBC)以满足非 COVID-19 患者的需求。本研究的目的是量化在大流行的第一年中,自动化如何用于微调供需关系并增加供者参与度。

方法

这是一项在美国中部血库进行的单中心回顾性血液采集和供者出席率研究。从 2020 年 1 月 1 日至 2021 年 3 月 31 日评估数据。评估的参数包括供者出席率、每次程序采集的血小板数量、每次程序同时采集的 RBC 和血浆数量、操作人员的依从性、总供者预约计数和供者频率。

结果

随着流动采血活动的取消,固定采血点使总单采程序增加了 37%,使每床位的轮次增加了 46%,而采集的每供者的产品数量减少。通过只采集所需的数量,血小板的过期率从大流行前的 6.8%降至不到 4%。供者参与度(以供者频率衡量)从 2020 年 1 月的 1.6 增加到 2021 年 3 月的 1.8。

结论

通过使用自动化血液采集和信息系统等技术进步,血库提高了供者的参与度,并在大流行期间避免了任何一种血液制品的过剩采集。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5494/8897834/080272356d55/gr1_lrg.jpg

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