2021年国家血液采集和利用调查的补充调查结果
Ian Kracalik1, Mathew R P Sapiano1,2, Robert C Wild1,3
1Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Transfusion
|September 13, 2023
概括
全国献血量在2021年上升,但年轻人和少数群体的献血人数下降. 血液制品成本和减少病原体血小板的使用增加,而输血反应略有下降.
科学领域:
- 公共卫生 公共卫生
- 血液学 血液学 血液学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 国家血液采集和利用调查 (NBCUS) 是由卫生和人类服务部自1997年以来每两年进行的一项调查.
- 对于估计国家血液收集和利用趋势而言,NBCUS数据至关重要.
- 本报告介绍了2021年NBCUS的补充数据,提供了以前未发表的见解.
研究的目的:
- 分析2021年国家血液采集和利用调查的关键发现.
- 将2021年的血液采集,捐赠者人口统计,产品成本和安全措施与前几年进行比较,特别是2019年.
- 报告血液安全措施的实施和影响,例如病原体减少血小板.
主要方法:
- 通过2021年NBCUS.US收集的数据进行分析.
- 检查参与调查的情况,捐赠者的特点,血液成分成本和输血相关的不良反应.
- 将2021年的数据与2019年的数据进行相关指标的比较,以及2013-2019年参与调查的数据.
主要成果:
- 在2021年,有11.507.000次成功献血,比2019年增加4.8%,65岁及以上的个人献血的数量显著增加.
- 少数民族和25岁以下的个人捐献减少,而白血病减少的红细胞,非血小板和新鲜冷血的中位价格增加.
- 病原体减少血小板的使用从2019年的13%升至2021年的60%,而输血相关的不良反应略有下降,细菌感染率保持稳定.
结论:
- 尽管2021年全国献血总体增加,但年轻人和少数群体的献血数量有所下降.
- 医院对大多数血液制品的成本增加,特别是白血病减少的血小板.
- 通过减少病原体的血小板显著增加,这表明对血液安全措施的重视越来越大.
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