Home transfusions are implemented using diverse approaches in Japan-Reference-Cited by-同舟云学术

Home transfusions are implemented using diverse approaches in Japan

Published:2023-09-06 Issue:11 Volume:118 Page:938-946
ISSN:0042-9007
Container-title:Vox Sanguinis
language:en
Short-container-title:Vox Sanguinis

Author:

Tanaka Asashi¹^ORCID,Fujita Hiroshi²,Ohashi Kota³,Tsujikawa Akihito⁴,Uchiyama Kanami⁵,Ito Tatsuya⁶,Kawashima Koichiro⁷,Kodama Reiko⁷,Mine Takashi⁸,Okuda Makoto⁹,Endoh Teruo¹⁰,Fukuyoshi Youko¹¹,Kitazawa Junichi¹²,Sueoka Eisaburo¹³,Nagai Kazuhiro¹⁴,Ishida Akaru¹⁵,Matsuzaki Koji¹⁶,Kato Yoko¹⁷,Takanashi Kazuo¹⁸,Takahashi Koki¹⁸

Affiliation:

1. Department of Clinical Laboratory Medicine and Department of Transfusion Medicine Tokyo Medical University Hachioji Medical Center Tokyo Japan

2. Department of Transfusion Medicine Tokyo Metropolitan Bokutoh Hospital Tokyo Japan

3. TOTUS Home Care Clinic Hemato‐Homecare Network Tokyo Japan

4. Tsujikawa Home Clinic Saitama Japan

5. Iwata Home Care Clinic Shizuoka Japan

6. Nishiosu Ito Internal Medicine and Department of Hematology Hemato‐Homecare Network Aichi Japan

7. Sendai Home Care Clinic Miyagi Japan

8. Donated Blood Distribution Foundation Tokyo Japan

9. Division of Blood Transfusion Toho University Omori Medical Center Tokyo Japan

10. Department of Clinical Laboratory Science, School of Medical Technology Health Sciences University of Hokkaido Hokkaido Japan

11. Department of Transfusion Medicine and Cell Therapy Kumamoto University Hospital Kumamoto Japan

12. Division of Clinical Laboratory Aomori Prefectural Central Hospital Aomori Japan

13. Department of Laboratory Medicine Saga University Hospital Saga Japan

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

15. Division of Transfusion Medicine and Cell Transplantation Saitama Medical University International Medical Center Saitama Japan

16. Japanese Red Cross Fukuoka Blood Center Fukuoka Japan

17. Department of Transfusion Medicine The Jikei University Daisan Hospital Tokyo Japan

18. Blood Service Headquarters Japanese Red Cross Society Tokyo Japan

Abstract

AbstractBackground and ObjectivesJapan's ageing society has increased the need for home healthcare, including home transfusions. We hence aimed to elucidate the purpose and utilization of home transfusions in Japan, which has not been clarified to date.Materials and MethodsClinics throughout Japan that provide home care and have experience in performing blood transfusions were surveyed. The study period was February to December 2019, and information of patients receiving home red blood cell transfusions, including patient background, pre‐transfusion laboratory data and the purpose of the transfusions, was collected.ResultsHaematological malignancies and solid tumours accounted for 70% of the patients' underlying diseases, with the former being significantly more common in urban areas. Regarding the purpose of the home transfusions, haematologists focused on symptom improvement, whereas gastroenterology surgeons focused on life support. Furthermore, maintenance of life was more likely to be the aim in the group of patients with the lowest level of activities of daily living. The main items that were significantly associated with a low haemoglobin level before transfusion included age ≥90 years and a gastroenterologist being the physician in charge.ConclusionHome transfusions were found to be performed in a restrictive and diverse manner in Japan. Life support is the second most common purpose of home transfusion in Japan, and optimizing effective home transfusion remains a challenge.

Funder

Ministry of Health, Labour and Welfare

Publisher

Wiley

Subject

Hematology,General Medicine

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1111/vox.13518

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