[Transfusion supply optimization in multiple-discipline surgical hospital]

Area of Science:

• Transfusion Medicine
• Hospital Blood Management
• Surgical Hemostasis

Context:

• Hospital transfusion services face challenges in optimizing blood component supply and managing costs.
• The application of blood preservation technologies offers a potential solution to these challenges.
• Analyzing historical data is crucial for defining optimal transfusion strategies.

Purpose:

• To define the optimal variant of hospital transfusion supply by blood components.
• To decrease donor blood expense through the application of blood-preserving technologies.
• To evaluate the impact of these technologies on blood component utilization and costs.

Summary:

• Analysis of donor blood components expense and hemotransfusion volumes from 2012-2014 revealed significant reductions in the use of packed red cells (18.5%), fresh-frozen plasma (25%), and packed platelets (80%).
• The overall need for donor plasma decreased by 35%.
• Autologous plasma constituted 76% of the total volume in cardiac surgery, with preoperative plasma sampling implemented for patients with aortic aneurysms. Cardiac interventions performed without donor blood increased by 7-31%.

Impact:

• Reduced reliance on donor blood components, leading to significant cost savings.
• Increased transfusion independence in surgical procedures, particularly in cardiac surgery.
• Demonstrated the effectiveness of blood preservation technologies in optimizing hospital transfusion supply.