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COVID-19 对巴西血库网络满足输血需求的效果的影响。

Impact of COVID-19 on the efficacy of meeting the transfusion demand by a Brazilian blood banks network.

机构信息

Fundação Hemominas, Alameda Ezequiel Dias, 321 - Santa Efigênia, Belo Horizonte 30130-110, Minas Gerais, Brazil.

出版信息

Transfus Apher Sci. 2022 Oct;61(5):103439. doi: 10.1016/j.transci.2022.103439. Epub 2022 Apr 1.

Abstract

One of the effects of the pandemic in the hemotherapy services was the reduction in the attendance of blood donors and production of blood components. It is relevant to investigate how the capacity to meet the demand for blood components was affected, especially in blood centers located in the regions most affected by the pandemic, such as Brazil. This study aimed to describe the impact of the pandemic on the capacity to meet the demand for different types of blood components by a Brazilian blood center in 2020, compared to the historical series of 2016-2019 and to discuss the measures adopted to mitigate the effects of the pandemic. Retrospective cross-sectional study was carried out with comparative analysis of the blood components requested and attended in the period from 2016 to 2020. Data analysis was performed by Graphpad Prism 5. The spread of COVID-19 cases since March 2020 had impact on the blood components production and transfusions. The reduction in the production of blood components was observed prior to the restriction measures, in March 2020. In comparison to 2016-2019, there was a reduction in the number of transfusions performed in all months of 2020. The results suggest that the measures adopted in a Brazilian blood center to face the COVID-19 pandemic resulted in reasonable regularity in the supply of blood components. The sharing of experiences between blood banks in different regions, social and epidemiological contexts can contribute to the improvement of strategies to reduce the impact of COVID-19 in transfusion medicine.

摘要

大流行对血液服务的影响之一是献血者人数减少和血液成分产量降低。因此,有必要调查 2020 年巴西某血液中心满足血液成分需求的能力受到了何种影响,特别是在受大流行影响最严重的地区的血液中心。本研究旨在描述 2020 年巴西某血液中心在大流行期间满足不同类型血液成分需求的能力与 2016-2019 年历史系列数据相比受到的影响,并讨论为减轻大流行影响而采取的措施。这是一项回顾性的、横截面的研究,对 2016 年至 2020 年期间要求和提供的血液成分进行了比较分析。使用 Graphpad Prism 5 进行数据分析。自 2020 年 3 月以来 COVID-19 病例的传播对血液成分的生产和输血产生了影响。2020 年 3 月之前,在限制措施实施之前,血液成分的生产就已经减少。与 2016-2019 年相比,2020 年所有月份的输血数量均减少。结果表明,巴西某血液中心为应对 COVID-19 大流行而采取的措施使血液成分的供应保持了合理的规律性。不同地区、不同社会和流行病学背景的血库之间分享经验,可以有助于改进输血医学中降低 COVID-19 影响的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5376/8972979/8c61e13b0309/gr1_lrg.jpg

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