2023年全国血液采集和利用调查的补充发现
Isabel S Griffin1, Ian Kracalik1, Kelsey McDavid1
1Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Transfusion
|August 1, 2025
概括
老年献血者的献血量下降,而年轻,黑人和西班牙裔献血者的献血量增加. 血液制品的成本上升,但使用病原体减少的血小板和输血传染病的发生率下降.
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:
- 国家血液收集和利用调查 (NBCUS) 是一项两年一度的调查,追踪美国的血液收集和使用情况.
- 本报告详细介绍了此前未发表的2023年NBCUS补充数据.
研究的目的:
- 分析献血者人口统计,献血延期,组件成本和输血相关不良事件的趋势.
- 评估采用病原体减少的血小板和血液产品定价的变化.
主要方法:
- 来自美国2023年NBCUS.US.血液收集和输血设施收集的数据.
- 使用权重和归算方法生成的国家估计.
- 对捐赠者特征,延期,组件成本,不良反应和病原体减少血小板使用的分析.
主要成果:
- 来自45-64岁的捐赠者的捐赠减少了11%,而来自16-18岁的捐赠者,黑人和西班牙裔捐赠者的捐赠大幅增加.
- 为旅行而推迟捐款的数量大幅增加,增长了162%.
- 红细胞,新鲜冷血和非血小板的中位价格上,非血小板的价格上幅度最大. 使用病原体减少血小板的设施比例增加到64%. 与输血相关的不良反应增加,但输血传播的感染减少.
结论:
- 献血人口结构正在发生变化,年长的献血者减少,年轻的,黑人和西班牙裔献血者增加.
- 基本血液制品的成本正在上升,同时,病原体减少血小板技术的采用也在增加.
- 虽然整体输血反应上升,但输血传染病的发病率有所下降.
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