Affiliation:
1. Department of Clinical Laboratory Sciences, University of Texas Medical Branch , Galveston, TX
Abstract
Abstract
Background
Transfusion services aim to maintain sufficient blood inventory to support patients, even with challenges introduced by COVID-19.
Objectives
To review blood usage and wastage before, during, and after COVID-19 surges, and to evaluate effects on inventory.
Methods
In a retrospective review, we evaluated the association between time periods corresponding to the initial wave of COVID-19 (pre–COVID-19, quarantine, and postquarantine) and blood usage/wastage. Data were stratified by period, and χ2 testing was used to examine the association between these time periods and blood usage/wastage.
Results
In the period before COVID-19, the transfusion service used more units, and in the period after quarantine, more units went to waste. Across all time periods, the most-used product was RBCs, and the most wasted product was plasma. A statistically significant association existed between usage (χ2 [6/3209 (0.2%)]) = 24.534; P ≤.001; Cramer V = 0.62), wastage (χ2 [6/775 (0.8%)]) = 21.673; P = .001; Cramer V = 0.118), and time period. The postquarantine period displayed the highest wastage costs ($51,032.35), compared with the pre–COVID-19 period ($29,734.45).
Conclusion
Changes in blood inventory use and waste are significantly associated with the onset and continuation of COVID-19.
Publisher
Oxford University Press (OUP)
Subject
Biochemistry (medical),Clinical Biochemistry
Reference38 articles.
1. A study on blood product usage and wastage at the public hospital, Guyana;Kurup;BMC Res Notes.,2016
2. Blood component therapy: which, when and how much;Arya;J Anaesthesiol Clin Pharmacol,2011
3. The evaluation of blood requests for transfusion and it’s [sic];Chegini;Int Blood Res Rev.,2015
4. A review of blood usage and wastage in a tertiary heart center;Shamshirian;Acta Clin Belg.,2020
5. Blood product transfusion in adults: indications, adverse reactions, and modifications;Raval;Am Fam Physician.,2022