An international investigation into O red blood cell unit administration in hospitals: the GRoup O Utilization Patterns (GROUP) study

• Zeller, Michelle P.
• Barty, Rebecca
• Aandahl, Astrid
• Apelseth, Torunn Oveland
• Callum, Jeannie
• Dunbar, Nancy M.
• Elahie, Allahna
• Garritsen, Henk
• Hancock, Helen
• Kutner, José Mauro
• Manukian, Belinda
• Mizuta, Shuichi
• Okuda, Makoto
• Pagano, Monica B.
• Pogłód, Ryszard
• Rushford, Kylie
• Selleng, Kathleen
• Sørensen, Claess Henning
• Sprogøe, Ulrik
• Staves, Julie
• Weiland, Thorsten
• Wendel, Silvano
• Wood, Erica M.
• Watering, Leo van de
• Wordragen-Vlaswinkel, Maria van
• Ziman, Alyssa
• Zwaginga, Jaap Jan
• Murphy, Michael F.
• Heddle, Nancy M.
• Yazer, Mark H.

2017-08-25

Transfusion;57(10)

Wiley

• Journal article
• Peer reviewed

BACKGROUND: Transfusion of group O blood to non-O recipients, or transfusion of D- blood to D+ recipients, can result in shortages of group O or D- blood, respectively. This study investigated RBC utilization patterns at hospitals around the world and explored the context and policies that guide ABO blood group and D type selection practices. STUDY DESIGN AND METHODS: This was a retrospective study on transfusion data from the 2013 calendar year. This study included a survey component that asked about hospital RBC selection and transfusion practices and a data collection component where participants submitted information on RBC unit disposition including blood group and D type of unit and recipient. Units administered to recipients of unknown ABO or D group were excluded. RESULTS: Thirty-eight hospitals in 11 countries responded to the survey, 30 of which provided specific RBC unit disposition data. Overall, 11.1% (21,235/191,397) of group O units were transfused to non-O recipients; 22.6% (8777/38,911) of group O D- RBC units were transfused to O D+ recipients, and 43.2% (16,800/38,911) of group O D- RBC units were transfused to recipients that were not group O D-. Disposition of units and hospital transfusion policy varied within and across hospitals of different sizes, with transfusion of group O D- units to non-group O D- patients ranging from 0% to 33%. CONCLUSION: A significant proportion of group O and D- RBC units were transfused to compatible, nonidentical recipients, although the frequency of this practice varied across sites.

• VDP::Medisinske Fag: 700
• Artikkel

acceptedVersion

• https://hdl.handle.net/10642/7266