Zimmermann R, Büscher M, Linhardt C, Handtrack D, Zingsem J, Weisbach V, Eckstein R
Department of Transfusion Medicine and Hemostaseology, Friedrich-Alexander University of Erlangen-Nürnberg, Germany.
Transfusion. 1997 Oct;37(10):1075-83. doi: 10.1046/j.1537-2995.1997.371098016449.x.
There are no recent studies on transfusion practice and blood use with regard to diagnoses of European recipients. We conducted a survey of blood component use, including packed red cells, fresh-frozen plasma, and platelets, in an acute-care university hospital in the Greater Nürnberg area.
A survey was carried out of blood component transfusion at a university hospital (Erlangen, Germany) between June 1994 and May 1996. Transfused units were listed by broad diagnostic categories formed from principal diagnoses of the recipients according to the International Classification of Diseases, Ninth Revision.
Among 100,497 discharged patients, 6,590 patients who received transfusion (6.6%) are represented in this survey. Of 28,440 red cell units and 8,592 fresh-frozen plasma units, 72.4 percent and 66.9 percent, respectively, were used in patients with neoplastic diseases, circulatory system diseases, or disorders of the digestive system. Of 2704 platelet units, 78.1 percent were transfused to patients with neoplastic or gastrointestinal diseases or diseases of blood-forming organs. These four diagnostic categories accounted for 77.7 percent of all costs of transfusion therapy. Males received 60.1 percent of all blood components transfused, and patients less than 65 years old received 68.0 percent.
This survey provides information on blood component usage in a German university hospital. It demonstrates the concentration of today's blood utilization among a few diagnostic categories. The study shows that detailed information on local blood use may be obtained quickly by using data available from transfusion services and medical record departments. This information is relevant for quality management of transfusion practice, cost analyses and for planning local and regional blood donation programs.
目前尚无关于欧洲受血者诊断相关输血实践和用血情况的近期研究。我们对大纽伦堡地区一家急症护理大学医院的血液成分使用情况进行了调查，包括浓缩红细胞、新鲜冰冻血浆和血小板。
于1994年6月至1996年5月在一家大学医院（德国埃尔朗根）开展了一项血液成分输血调查。根据《国际疾病分类》第九版，按照受血者的主要诊断形成广泛的诊断类别，列出输注的单位。
在100497名出院患者中，本调查涵盖了6590名接受输血的患者（6.6%）。在28440单位红细胞和8592单位新鲜冰冻血浆中，分别有72.4%和66.9%用于患有肿瘤疾病、循环系统疾病或消化系统疾病的患者。在2704单位血小板中，78.1%输注给了患有肿瘤或胃肠道疾病或造血器官疾病的患者。这四个诊断类别占输血治疗总成本的77.7%。男性接受了所有输注血液成分的60.1%，65岁以下患者接受了68.0%。
本调查提供了德国一家大学医院血液成分使用情况的信息。它表明了当今血液利用集中在少数诊断类别中。该研究表明，通过使用输血服务部门和病历部门提供的数据，可以快速获得当地用血的详细信息。这些信息对于输血实践的质量管理、成本分析以及规划当地和区域献血项目具有重要意义。
