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Published on: May 26, 2015
Survival after transfusion in the Netherlands
B A Borkent-Raven1, M P Janssen, C L van der Poel
1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands.
Blood transfusion recipients have higher mortality rates than the general population, but this difference decreases over time. Survival rates vary by blood component type, with red blood cell transfusions showing higher survival than fresh frozen plasma or platelet transfusions.
Area of Science:
- Hematology
- Public Health
- Medical Statistics
Background:
- Accurate life expectancy estimates post-transfusion are crucial for cost-effectiveness analyses of blood safety.
- Survival data, stratified by age and blood component, are essential for these estimates.
Purpose of the Study:
- To determine survival rates and life expectancy following blood product transfusions.
- To compare mortality rates of transfusion recipients with the general population.
Main Methods:
- The PROTON study collected transfusion data from 1996-2006 in the Netherlands.
- PROTON data were matched with national mortality records for survival analysis.
- Survival rates were calculated per blood component type and age group, and compared to general population mortality.
Main Results:
- 92% of 2,405,012 transfusions were successfully matched to mortality data.
- One-year survival rates were 65.4% (RBC), 70.4% (FFP), and 53.9% (PLT).
- Five-year survival rates were 46.6% (RBC), 58.8% (FFP), and 39.3% (PLT).
- Ten-year mortality remained elevated compared to the general population.
Conclusions:
- Transfusion recipients exhibit higher mortality than the general population, with diminishing excess risk over time.
- Mortality rates in the Netherlands were found to be lower than in comparable international studies.
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