Directed blood donation in pediatric general surgery: Is it worth it?

Journal of Pediatric Surgery
P W WalesP C Kim

Abstract

To date, there are no data to support the safety, efficacy, and cost-benefit ratio of donor-directed blood donation (DD). The objectives were to determine whether a DD program in pediatric general surgery practice is justified. A retrospective analysis was conducted of the transfusion practice and all DD requests received by transfusion services in a full calendar year (1997) at a tertiary care pediatric hospital. The authors examined the donations, utilization, and possible benefits for the recipients. A total of 22,527 units of blood were transfused in 1997. General surgery used 471 (2%) of the total and 471 of 4,825 (10%) of all surgical transfusions. Total DD requests were 219 with only 11 of 219 (5%) originating from the general surgery department. After all the exclusions, 133 of 219 (61%) requests had DD blood available. DD blood had a higher true-positive rate for transmissible disease (1.1% v 0.10%), high-risk activity (2.5% v 1.2%), and malaria risk (3.1% v 0.31%). Total utilization of DD blood was 132 of 236 units (55.9%) and general surgery utilized 4 of 11 (36.4%) of their directed donations. Thirty-seven patients (27.8%) benefited from decreased donor exposure. No general surgery patient received more than 1 blood...Continue Reading

References

Dec 22, 1989·JAMA : the Journal of the American Medical Association·J M StarkeyM H Sayers
Sep 1, 1988·Mayo Clinic Proceedings·M E BrecherH F Taswell
Sep 1, 1986·Transfusion·R R CordellH A Perkins
Sep 2, 2008·The Journal of Bone and Joint Surgery. British Volume·R Lemaire

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Citations

Jul 31, 2003·Journal of Paediatrics and Child Health·M I KnuckeyH F Savoia
May 6, 2017·Hospital Pediatrics·Kimberly H BarbasSusanna Y Huh
Aug 26, 2014·Annals of the New York Academy of Sciences·Laurette DubéNick Drager
Oct 9, 2014·Annals of the New York Academy of Sciences·Laurette DubéJohn McDermott
Sep 1, 2014·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Mark G Hamilton

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