Blood transfusion

1. We recollected data from 2007 and considered two three years periods (P1: 2008-2010; P2: 2011-2013).
By using BASTA data management program (NetBank Gold, IZASA®, Spain), we reviewed data of blood
component [red blood cell (RBC), platelet (PLT) and inactivated fresh frozen plasma (FFP)] transfusion at all
public hospitals: two university hospitals over 500 beds (A & B), three hospitals over 200 beds (C, D & E), three
hospitals under 200 beds (F, G & H) and one long term 150 bed hospital (I).
We analyzed overall transfusion, RBC transfused per receptor (RBCT index), FFP transfusion Index (FFP
units/RBC units*100), and PLT transfusion Index (PLT units/RBC units*100) (mean ± standard deviation).
We used T student test for independent groups to analyze mean differences between two periods.
Differences are expressed as mean (95% confidence interval).
We reviewed data on blood component transfusion from 2007-2013 in the Autonomous Region of Aragon (Spain),
after Regional Blood Centre (BASTA) was created in September 2006.
The possible influences of the economic crisis and of implementation of a regional blood saving protocol in all nine
public hospitals in 2010, were also analysed.
Blood Component Use in Aragón (2007–2013):
Does Crisis Affect Blood Use?
García-Erce JA*, Tirado G***, González V**, Domingo JM & Rodríguez García J
Hospitals: *San Jorge Huesca, # Miguel Servet, ***Royo Villanova & Clinico Universitario.
INTRODUCTION & OBJECTIVE
PATIENTS & METHODS
RESULTS
 In spite, the Regional Blood Saving Protocol and the economical crisis, we have observed an increase in the
number of patients transfused and RBC units transfused at Aragon.
 In addition, the observed differences between similar hospitals seem to alert about different transfusion
attitudes between centres.
 It is time to review and relaunch the Regional Blood Saving Program.
CONCLUSIONS
Since 2008 at Aragón overall transfusion has increased by 4%, the number or patients transfused increased by
5,96 %, but plasma transfusion decreased by 13% (Table 1).
Overall transfusion decreased at the four biggest hospitals between 2008 and 2013
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Table 1. Distribution of blood component transfusion between study periods. All hospitals.
2007 2008 2009 2010 2011 2012 2013,00 08-13% P1 P2 (%) P1-P2
ARAGÓN 40652 41660 43085 41801 42447 43200 43338 4,03 42182 42995 1,93
A 15128 15669 15347 16239 16514 16196 15445 -1,43 15752 16052 1,90
B 11166 11640 11716 10870 10956 11428 11090 -4,73 11409 11158 -2,20
C 3753 3947 3786 2965 2957 3064 2539 -35,67 3566 2853 -19,99
D 3198 3584 3638 3378 3063 3412 3154 -12,00 3533 3210 -9,16
E 2541 1917 2426 2805 2945 2802 3040 58,58 2383 2929 22,93
F 1542 1663 1690 1496 1421 1397 1348 -18,94 1616 1389 -14,09
G 1875 1905 2360 2286 2392 2162 2339 22,78 2184 2298 5,22
H 1133 1071 1247 1162 1259 1211 1276 19,14 1160 1249 7,64
I 316 258 182 168 215 317 458 77,52 203 330 62,83
2007 2008 2009 2010 2011 2012 2013,00 08-13% P1 P2 (%) P1-P2
ARAGÓN 40652 41660 43085 41801 42447 43200 43338 4,03 42182 42995 1,93
A 15128 15669 15347 16239 16514 16196 15445 -1,43 15752 16052 1,90
B 11166 11640 11716 10870 10956 11428 11090 -4,73 11409 11158 -2,20
C 3753 3947 3786 2965 2957 3064 2539 -35,67 3566 2853 -19,99
D 3198 3584 3638 3378 3063 3412 3154 -12,00 3533 3210 -9,16
E 2541 1917 2426 2805 2945 2802 3040 58,58 2383 2929 22,93
F 1542 1663 1690 1496 1421 1397 1348 -18,94 1616 1389 -14,09
G 1875 1905 2360 2286 2392 2162 2339 22,78 2184 2298 5,22
H 1133 1071 1247 1162 1259 1211 1276 19,14 1160 1249 7,64
I 316 258 182 168 215 317 458 77,52 203 330 62,83
Comparing both Periods, in spite the economic crisis, overall regional, the transfusion decrease only at three
medium-size hospitals.
From period 1 to period 2, in spite the Regional Saving Program, overall regional data: transfused RBC units
increased by 1,9 %