Guest J F, Munro V, Cookson R F
CATALYST Health Economics Consultants Ltd, Middlesex, UK.
Clin Lab Haematol. 1998 Apr;20(2):111-8. doi: 10.1046/j.1365-2257.1998.00112.x.
This study estimated the annual cost of blood transfusions in the UK during 1994/1995. The analysis was based on published data, information derived from interviews with relevant NHS personnel and a purpose-designed structured questionnaire of blood donors. The cost to the UKs blood transfusion services of providing blood and blood products for transfusion was 165.5 Pounds million in 1994/1995. During this period, 2.75 million conventional donations of whole blood and 144,000 apheresis donations of platelets and plasma were collected: 2.58 million units of red blood cells were issued, resulting in approximately 866,000 red blood cell transfusions; 334,000 units of fresh frozen plasma and 1.16 million units of platelets were issued, resulting in approximately 17,000 and 188,000 isolated plasma and platelet transfusions, respectively. Hospital resource use attributable to providing blood transfusions during 1994/1995 cost the NHS 52.6 Pounds million. In total, blood transfusions cost the NHS 218.2 Pounds million during 1994/1995. Of this, red blood cell transfusions accounted for 76% of the annual cost, isolated platelet transfusions 16%, isolated plasma transfusions 1% and other products 7%. Donors incurred direct costs of 3.1 Pounds million and indirect costs of 11.2 Pounds million were accrued due to lost productivity. Additionally, blood donors gave up 2.5 million hours of their leisure time donating blood.
本研究估算了1994/1995年间英国输血的年度成本。该分析基于已发表的数据、对相关国民医疗服务体系（NHS）人员访谈所得信息以及专门设计的献血者结构化问卷。1994/1995年，英国输血服务机构提供用于输血的血液和血液制品的成本为1.655亿英镑。在此期间，共采集了275万次全血常规献血以及14.4万次血小板和血浆单采献血；发放了258万单位红细胞，导致约86.6万次红细胞输血；发放了33.4万单位新鲜冰冻血浆和116万单位血小板，分别导致约1.7万次和18.8万次单独的血浆和血小板输血。1994/1995年因提供输血导致的医院资源使用使NHS花费了5260万英镑。1994/1995年，输血总共使NHS花费了2.182亿英镑。其中，红细胞输血占年度成本的76%，单独的血小板输血占16%，单独的血浆输血占1%，其他产品占7%。献血者产生了310万英镑的直接成本，因生产力损失产生了1120万英镑的间接成本。此外，献血者献血放弃了250万小时的休闲时间。
