Diekamp U
Bluttransfusionsdienst am Zentralkrankenhaus St.-Jürgen-Strasse, Bremen, Deutschland.
Beitr Infusionsther Transfusionsmed. 1994;32:505-11.
Comparing direct, indirect and capital costs for preparing allogeneic versus autogenous blood reveals: If one applies modern blood banking (component preparation, routine safety tests prior to blood release for transfusion), supplies and reagent costs for allogeneic and autogenous units are identical, if patient needs no postphlebotomy volume replacement. Personnel costs are higher for preparing autogenous units, because patients require extra care compared to experienced blood donors and because autogenous blood inventory control takes more time. Indirect and capital costs are the same. At our blood bank, the costs for preparing a 3-unit autogenous blood depot are DM 710,42 as compared to DM 663,15 for 3 allogeneic units.
比较制备异体血与自体血的直接成本、间接成本和资本成本后发现：如果采用现代血库技术（成分制备、输血前血液发放的常规安全检测），在患者无需进行采血后容量替代的情况下，异体血和自体血的耗材及试剂成本相同。制备自体血的人力成本更高，这是因为与经验丰富的献血者相比，患者需要额外护理，且自体血库存管理耗时更长。间接成本和资本成本相同。在我们血库，制备一个含3单位的自体血储备库的成本为710.42德国马克，而制备3单位异体血的成本为663.15德国马克。
