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Blood shortages and changes to massive transfusion protocols: Survey of hospital practices during the COVID-19 pandemic

INTRODUCTION: The COVID-19 pandemic has resulted in severe ongoing blood shortages across the US, despite employment of numerous blood-conservation measures. Massive transfusion protocols (MTP) are one resource-intensive practice that utilize significant amounts of blood products. Alterations to the...

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Autores principales: Jacobs, Jeremy W., Booth, Garrett S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8530788/
https://www.ncbi.nlm.nih.gov/pubmed/34690073
http://dx.doi.org/10.1016/j.transci.2021.103297
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author Jacobs, Jeremy W.
Booth, Garrett S.
author_facet Jacobs, Jeremy W.
Booth, Garrett S.
author_sort Jacobs, Jeremy W.
collection PubMed
description INTRODUCTION: The COVID-19 pandemic has resulted in severe ongoing blood shortages across the US, despite employment of numerous blood-conservation measures. Massive transfusion protocols (MTP) are one resource-intensive practice that utilize significant amounts of blood products. Alterations to the composition of MTP parameters to conserve scarce biologic resources have hitherto not been examined during the pandemic. METHODS: An anonymous 18-question survey was administered to 115 hospitals with valid email contact information. Survey questions addressed whether institutions have altered their MTPs due to the COVID-19 pandemic and blood shortages, and if so, what adjustments they have made. Additional details concerning potential differences in the number and cycles of MTPs and blood product wastage during the COVID-19 pandemic compared to the year prior were assessed. RESULTS: 50 responses were received (43 % response rate). 10 % (5/50) of institutions altered their MTPs utilizing a variety of approaches in attempt to conserve blood during the COVID-19 pandemic. Four additional institutions intend to alter them if it becomes necessary. Following onset of the COVID-19 pandemic, 24 % of institutions (12/50) reported an increase in monthly MTP activations, while 16 % (8/50) reported decreased activations compared to prior to the pandemic. 22 % (11/50) of institutions experienced increased blood wastage, whereas 16 % (8/50) reported decreased waste compared to pre-pandemic. DISCUSSION: The results of this survey highlight a variety of mechanisms by which institutions have attempted to conserve blood via altering MTPs. Whether an institution adjusted their MTP does not correlate with changes in blood product wastage compared to pre-pandemic.
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spelling pubmed-85307882021-10-22 Blood shortages and changes to massive transfusion protocols: Survey of hospital practices during the COVID-19 pandemic Jacobs, Jeremy W. Booth, Garrett S. Transfus Apher Sci Article INTRODUCTION: The COVID-19 pandemic has resulted in severe ongoing blood shortages across the US, despite employment of numerous blood-conservation measures. Massive transfusion protocols (MTP) are one resource-intensive practice that utilize significant amounts of blood products. Alterations to the composition of MTP parameters to conserve scarce biologic resources have hitherto not been examined during the pandemic. METHODS: An anonymous 18-question survey was administered to 115 hospitals with valid email contact information. Survey questions addressed whether institutions have altered their MTPs due to the COVID-19 pandemic and blood shortages, and if so, what adjustments they have made. Additional details concerning potential differences in the number and cycles of MTPs and blood product wastage during the COVID-19 pandemic compared to the year prior were assessed. RESULTS: 50 responses were received (43 % response rate). 10 % (5/50) of institutions altered their MTPs utilizing a variety of approaches in attempt to conserve blood during the COVID-19 pandemic. Four additional institutions intend to alter them if it becomes necessary. Following onset of the COVID-19 pandemic, 24 % of institutions (12/50) reported an increase in monthly MTP activations, while 16 % (8/50) reported decreased activations compared to prior to the pandemic. 22 % (11/50) of institutions experienced increased blood wastage, whereas 16 % (8/50) reported decreased waste compared to pre-pandemic. DISCUSSION: The results of this survey highlight a variety of mechanisms by which institutions have attempted to conserve blood via altering MTPs. Whether an institution adjusted their MTP does not correlate with changes in blood product wastage compared to pre-pandemic. Elsevier Ltd. 2022-02 2021-10-20 /pmc/articles/PMC8530788/ /pubmed/34690073 http://dx.doi.org/10.1016/j.transci.2021.103297 Text en © 2021 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Jacobs, Jeremy W.
Booth, Garrett S.
Blood shortages and changes to massive transfusion protocols: Survey of hospital practices during the COVID-19 pandemic
title Blood shortages and changes to massive transfusion protocols: Survey of hospital practices during the COVID-19 pandemic
title_full Blood shortages and changes to massive transfusion protocols: Survey of hospital practices during the COVID-19 pandemic
title_fullStr Blood shortages and changes to massive transfusion protocols: Survey of hospital practices during the COVID-19 pandemic
title_full_unstemmed Blood shortages and changes to massive transfusion protocols: Survey of hospital practices during the COVID-19 pandemic
title_short Blood shortages and changes to massive transfusion protocols: Survey of hospital practices during the COVID-19 pandemic
title_sort blood shortages and changes to massive transfusion protocols: survey of hospital practices during the covid-19 pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8530788/
https://www.ncbi.nlm.nih.gov/pubmed/34690073
http://dx.doi.org/10.1016/j.transci.2021.103297
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