南非的COVID-19大流行和血液利用情况
R Swanevelder1, P-L Wessels2, V J Louw3
1Medical Division, South African National Blood Service, Roodepoort, South Africa.
概括
随着COVID-19的流行,红细胞 (RBC) 的使用显著减少,特别是在南非的公共部门. 虽然流行病后的血液利用率恢复了,但公共部门的血液使用率却有所下降.
科学领域:
- 血液学 血液学 血液学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- COVID-19大流行严重影响了全球卫生服务,包括血液采集和利用.
- 南非国家血液服务局 (SANBS) 观察到,由于国家封锁措施,血液需求大幅下降.
- 流行病和缓解策略对血液利用的确切影响仍然不清楚.
研究的目的:
- 为了回顾分析2019年至2022年南非红细胞 (RBC) 的利用情况.
- 为了比较公共和私人医疗保健部门在COVID-19流行病急性阶段之前,期间和之后的RBC利用率.
- 了解大流行对血液供应链动态和特定部门的性影响.
主要方法:
- 采用了回顾性研究设计,分析了4年 (2019-2022) 期间的RBC利用数据.
- 数据按南非的公共和私人医疗保健部门分层.
- 血液利用趋势与报告的COVID-19病例数和国家封锁法规进行了评估,比较了COVID前,急性COVID和后急性时期 (每450天).
主要成果:
- 在COVID-19大流行期间,整体RBC利用率下降了约17%.
- 血液使用率最初的下降在公共医疗保健部门更为显著.
- 虽然在后急性阶段利用率恢复到COVID前的水平,但公共和私营部门的恢复率有很大的差异.
结论:
- 随着COVID-19大流行,RBC利用率发生了重大变化,不成比例地影响了为南非大多数人口提供服务的公共部门.
- 在后急性期,公共部门的血液利用恢复速度比私营部门慢.
- 疫情凸显并加剧了南非公共和私人医疗保健系统在血液利用模式上的现有差异,强调了特定部门的适应能力.
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