1. Group O utilization patterns: The GROUP study.
- Author
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Ziman A., Weiland T., Wendel S., Heddle N.M., Yazer M.H., Zeller M., Aandahl A., Apelseth T., Callum J., Dunbar N.M., Garritsen H., Hancock H., Kutner J., Manukian B., Mizuta S., Okuda M., Pagano M.B., Poglod R., Rushford K., Selleng K., Sorensen C., Sprogoe U., Staves J., Van Wordragen M., Ziman A., Weiland T., Wendel S., Heddle N.M., Yazer M.H., Zeller M., Aandahl A., Apelseth T., Callum J., Dunbar N.M., Garritsen H., Hancock H., Kutner J., Manukian B., Mizuta S., Okuda M., Pagano M.B., Poglod R., Rushford K., Selleng K., Sorensen C., Sprogoe U., Staves J., and Van Wordragen M.
- Abstract
Background/Case Studies: Group O red blood cells (RBCs) are the universal donor red cells; they can be given to a recipient with any other blood group. Although it is usually the standard practice to select ABO group specific blood as the first choice for patients requiring transfusion, there are many situations where group O blood is given to non-O recipients. Transfu-sion of group O blood to non-O recipients, or the transfusion of Rh negative (D-) blood to Rh positive (D1) recipients, can result in shortages of O or D-blood, respectively. Current patterns of group O and D- blood utilization are not well understood. Study Design/Methods: Hospital transfusion services collected ABO and Rh groups of transfused RBC units and of recipients during the 2013 calendar year. Units administered to recipients of unknown ABO or Rh group were excluded. Two analyses were performed: How often group O RBCs were transfused to non-O recipients, and how often D- units (of any ABO group) were transfused to D1 recipients. The hospitals were divided into 3 categories: Small (<250 beds), medium (250-1000 beds), and large (>1000 beds). Results/Findings: Data was received from 30 centers in 9 countries. There were 7 small, 17 medium and 6 large hospital respondents. In total, these 30 centers transfused a total of 415,696 RBC units, of which 2257 (0.5%) were units excluded from the D mismatch analysis because the D type of the recipient was unknown. The ABO groups of all recipients were known. Overall 11.1% of the O units were transfused to non-O recipients. The percentage of O RBCs transfused to non-O recipients was similar among the small, medium and large sized hospital respondents (12.4, 12.8 and 8.5%, respectively). The rate of group O RBC transfusion to non-O recipients at the small hospitals ranged from 0-33.0%, at the medium hospitals from 0-22.0%, and at the large hospitals from 5.0-10.0%. In terms of D- RBC transfusion to D1 recipients, overall 29.8% of the D- units were transfus
- Published
- 2017