Current status of clinical transfusion practice in Sichuan, China: A cross-sectional survey

Zhang, Rong; Zhao, Wansheng; Wang, Zongkui; Ye, Shengliang; Li, Changqing; Lu, Li; Ya, Wang; Rao, Shaoqin

doi:10.1016/j.transci.2017.12.001

Cited by 4 publications

(4 citation statements)

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“…In China, approximately 47.9 million surgeries were performed in 2016 [17], and more than 43.2 million units of blood products were required [4]. Given that the practice of perioperative RBC transfusion varies among clinical centres [18][19][20][21][22], restrictive transfusion strategies were formally emphasized in the national perioperative transfusion guideline based on evidence of high-quality clinical trials and metaanalyses in 2014 [23]. This guideline listed several specific transfusion indications in the perioperative period (i.e., haemoglobin <7 dg/L, refractory anaemia patients with symptoms, pre-existing cardiovascular disease and considering transfusion for patients with symptoms or a haemoglobin level of 8 g/dL or less, etc.)…”

Section: Introductionmentioning

confidence: 99%

Temporal trends and geographic variations in perioperative red blood cell transfusion in major surgical procedures from 2013 to 2018 in China

Tang

Zhang

et al. 2023

Vox Sanguinis

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Background and Objectives Transfusion‐related guidelines promote restrictive blood transfusion. However, whether these guidelines have been successfully translated into clinical practice in China is unknown. This study aimed to provide updated information about the temporal trends in the prevalence of perioperative red blood cell (RBC) transfusion in China. Materials and Methods We analysed data from the Hospital Quality Monitoring System database (2013–2018) to investigate the prevalence of perioperative RBC transfusion in patients undergoing craniotomy for cerebral aneurysms or arteriovenous malformations, sternotomy for mitral valve replacement, open thoracotomy lobectomy, open gastrectomy and hip arthroplasty. Mixed‐effects logistic regression models quantified the likelihood of RBC transfusions. Results The study included 438,183 patients, with 44,697 (10.20%) receiving perioperative RBC transfusions. Introducing transfusion‐related guidelines in China markedly decreased the prevalence of RBC transfusion among patients who underwent major surgical procedures in the following years. The prevalence of RBC transfusion for hip arthroplasty was 17.34% in 2013 and 7.03% in 2018. After adjusting for patient risk factors, the odds ratio of RBC transfusion for hip arthroplasty was significantly lower in 2018 (0.74, 95% confidence intervals [CI] 0.53–1.02) than in 2013 (1.84, 95% CI 1.37–2.48). Conclusion The prevalence of perioperative RBC transfusion decreased from 2013 to 2018 in China, supporting the potential beneficial effects of transfusion‐related guidelines. Considering the geographic variations in RBC transfusion, reducing heterogeneity may impact public health by improving surgical outcomes.

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Section: Introductionmentioning

confidence: 99%

Temporal trends and geographic variations in perioperative red blood cell transfusion in major surgical procedures from 2013 to 2018 in China

Tang

Zhang

et al. 2023

Vox Sanguinis

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“…In about two‐thirds of European countries, PBM has been incorporated into routine practice in 2012 1 . In Asia, only a few countries, hospitals and medical staff introduced the PBM programme, 12 and the possibility of over‐utilisation of allogeneic RBC may be high compared with the amount of blood collected. Some studies reported that the transfusion appropriateness of Southeast Asia is lower than that in Western countries 13,14 …”

Section: Introductionmentioning

confidence: 99%

Effect of patient blood management system and feedback programme on appropriateness of transfusion: An experience of Asia's first Bloodless Medicine Center on a hospital basis

Shin

Park

Ahn

et al. 2020

Transfusion Medicine

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Background Patient blood management (PBM) programmes minimise red blood cell (RBC) transfusion and improve patient outcomes worldwide. This study evaluated the effect of a multidisciplinary, collaborative PBM programme on the appropriateness of RBC transfusion in medical and surgical departments at a hospital level. Methods/Materials In 2018, the revised PBM programme was launched at the Korea University Anam Hospital, a tertiary hospital with 1048 hospital beds and the first Asian institution where a new computer PBM programme was implemented. Monthly RBC usage and adequacy were analysed from January 2018 to December 2019. The trend of adequacy over time was assessed. Results A total of 2 201 021 patients were hospitalised and visited an outpatient clinic. The number of RBC units transfused per 10 000 patients decreased from 139.8 for 2018 to 137.3 for 2019. The proportion of patients with Hb <7 g/dL receiving RBC transfusion increased significantly: 29.1%, 34.5%, 40.4% and 40.6% for periods 1, 2, 3 and 4, respectively (p < 0.001). The appropriateness of RBC transfusion significantly increased for medical (35.2%, 41.5%, 49.6% and 74.3% for periods 1, 2, 3 and 4, respectively [p < 0.001]) and surgical (37.8%, 33.3%, 45.5% and 71.1% for periods 1, 2, 3 and 4, respectively [p < 0.001]) departments. Conclusion Implementation of a PBM programme through a multidisciplinary clinical community approach increased the appropriateness of RBC transfusion in medical and surgical departments. Therefore, expanding publicity and PBM education to health care providers is important to maintain the appropriateness of blood transfusion.

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“…Demand for blood components has declined in some countries due to emphasis on employing patient blood management strategies; however, a decreasing trend has not been observed in many other countries, including Iran. Over the next few decades, the elderly population is forecasted to grow much more rapidly than the total population throughout the world .…”

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confidence: 99%

“…Blood centers, therefore focus primarily on motivating donors to become regular donors. Understanding the factors that motivate donors to donate blood also improves programs aimed at retaining donors . Many studies have evaluated the individual motivation in blood donors and have shown that “desire to help others” is one of the most important factors .…”

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confidence: 99%

Effective ways to retain first‐time blood donors: a field‐trial study

et al. 2019

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BACKGROUND: Regular blood donors are the cornerstone of blood safety. Understanding the donors' behavior to donate blood improves blood donor retention programs. The purpose of this study is to evaluate the return rate of first-time blood donors following different interventions to identify effective ways to retain first-time donors. STUDY DESIGN AND METHODS:The study was conducted on 1356 first-time blood donors at four main blood centers in Iran. The donors were randomly assigned based on different interventions (phone calls, educational letter, emotional letter, incentive, motivational meeting, and no intervention) to six groups. The return rate of donors was defined as a second attempt to donate within 6 months after the first donation. Return rate and 95% confidence intervals (CIs) were calculated and compared among different groups. RESULTS:A total of 394 (29%) donors returned within 6 months for a second donation (95% CI, 0.26-0.31). The return rate in the emotional letter group, educational letter, phone reminder, incentives, motivational meeting, and control groups was 36% (95% CI, 0.31-0.42), 33.2% (95% CI, 0.27-0.38), 31.5% (95% CI, 0.25-0.37), 30% (95% CI, 0.22-0.38), 22% (95% CI, 0.17-0.27) and 22.1% (95% CI, 0.17-0.27), respectively.

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Current status of clinical transfusion practice in Sichuan, China: A cross-sectional survey

Cited by 4 publications

References 9 publications

Temporal trends and geographic variations in perioperative red blood cell transfusion in major surgical procedures from 2013 to 2018 in China

Temporal trends and geographic variations in perioperative red blood cell transfusion in major surgical procedures from 2013 to 2018 in China

Effect of patient blood management system and feedback programme on appropriateness of transfusion: An experience of Asia's first Bloodless Medicine Center on a hospital basis

Effective ways to retain first‐time blood donors: a field‐trial study

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