Feasibility evaluation of a blood rotation system for efficient blood product utilization in remote island settings-Reference-Cited by-同舟云学术

Feasibility evaluation of a blood rotation system for efficient blood product utilization in remote island settings

Published:2024-04-03 Issue:6 Volume:119 Page:548-555
ISSN:0042-9007
Container-title:Vox Sanguinis
language:en
Short-container-title:Vox Sanguinis

Author:

Nagai Kazuhiro¹^ORCID,Tomari Noriyuki²,Egawa Satoko³,Koga Yoshito¹,Itonaga Hidehiro¹,Imanishi Daisuke⁴,Yoshida Shinichiro⁵,Kinoshita Ikuo³,Miyazaki Yasushi¹⁶,Tanaka Asashi⁷^ORCID

Affiliation:

1. Transfusion and Cell Therapy Unit Nagasaki University Hospital Nagasaki Japan

2. Department of Clinical Laboratory Nagasaki Goto Chuoh Hospital Goto Japan

3. Japan Red Cross Nagasaki Blood Center Nagasaki Japan

4. Department of Internal Medicine Nagasaki Goto Chuoh Hospital Goto Japan

5. Department of Hematology NHO Nagasaki Medical Center Ohmura Japan

6. Department of Hematology Atomic Bomb Disease and Hibakusha Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Nagasaki Japan

7. Department of Laboratory Medicine Tokyo Medical University Hachioji Medical Center Tokyo Japan

Abstract

AbstractBackground and ObjectivesGeographical limitations in remote island medical facilities result in excessive wastage of blood products. To address this, we explored the feasibility of a novel blood rotation system, which enables the return and redelivery of blood products to/from the blood bank while ensuring the management of product quality, including temperature control. This study aimed to enhance the supply of blood products to these facilities.Materials and MethodsThe Japan Red Cross Nagasaki Blood Center, Nagasaki Goto Chuoh Hospital (NGCH) and Nagasaki University Hospital collaborated to coordinate the transport and supply of red blood cell (RBC) products. Type O, RhD‐positive, irradiated RBC products were stored at a precise 4.0 ± 2.0°C in an active transport refrigerator (ATR). After transport from the Japan Red Cross Nagasaki Blood Center to NGCH, RBC products were held for 1 week in the ATR, and unused products were returned. Eligible returned products were reissued to the Nagasaki University Hospital.ResultsAll the returned RBC products met the redelivery criteria. Among the 103 redelivered RBC preparations, 101 bags (98.1%) were successfully used. NGCH utilized 597 RBC products and discarded 80 samples. The ATR supplied 107 type O RBC bags without any wastage. The overall wastage rate was 10.2% during the study period compared with 24.2% in the same period in the previous year.ConclusionThis innovative supply and operation system ensures a consistent and secure RBC product supply to remote islands while maximizing blood product use.

Funder

Ministry of Health, Labour and Welfare

Publisher

Wiley

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1111/vox.13626

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