Affiliation:
1. Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases Centers for Disease Control and Prevention Atlanta Georgia USA
2. Lantana Consulting Group East Thetford Vermont USA
3. CACI International Reston Virginia USA
4. Oakridge Institute for Science and Education Atlanta Georgia USA
5. Chenega Corporation Atlanta Georgia USA
6. Office of Infectious Disease and HIV/AIDS Policy, Office of the Assistant Secretary for Health Department of Health and Human Services Washington District of Columbia USA
Abstract
AbstractBackgroundThe Department of Health and Human Services' National Blood Collection and Utilization Survey (NBCUS) has been conducted biennially since 1997. Data are used to estimate national blood collection and use. Supplemental data from the 2021 NBCUS not presented elsewhere are presented here.MethodsData on survey participation, donor characteristics, blood component cost, transfusion‐associated adverse reactions, and implementation of blood safety measures, including pathogen‐reduction of platelets, during 2021, were analyzed. Comparisons are made to 2019 survey data where available (2013–2019 for survey participation).ResultsDuring 2021, there were 11,507,000 successful blood donations in the United States, a 4.8% increase from 2019. Persons aged 45–64 years accounted for 42% of all successful blood donations. Donations by persons aged 65 years and older increased by 40.7%, while donations among minorities and donors aged <25 years decreased. From 2019 to 2021, the median price hospitals paid per unit of leukoreduced red blood cells, leukoreduced and pathogen‐reduced apheresis platelets, and fresh frozen plasma increased. The largest increase in price per unit of blood component in 2021 was for leukoreduced apheresis platelets, which increased by ~$51. Between 2019 and 2021, the proportion of transfusing facilities reporting use of pathogen‐reduced platelets increased, from 13% to 60%. Transfusion‐related adverse reactions declined slightly between 2019 and 2021, although the rate of transfusion‐transmitted bacterial infections remained unchanged.ConclusionDuring 2021, blood donations increased nationally, although donations from those aged <25 years and minorities declined. The prices hospitals paid for most blood products increased, as did the use of pathogen‐reduced platelets.
Funder
Office of the Assistant Secretary for Health
Subject
Hematology,Immunology,Immunology and Allergy
Cited by
2 articles.
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