Intermittent Transfusions for Treatment of Thalassemia in the State of Georgia, 2007-2016

Rollins Mr, J. Boudreaux, J. Eckman, J. Branscomb, M. Zhou, A. Snyder
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Abstract

Background: Individuals with Non-Transfusion Dependent Thalassemia (NTDT) may require infrequent transfusions. Knowing transfusion history, while important, can be challenging in this subgroup. Study Design: Hospital discharge data in Georgia (2007-2016) was reviewed. Thalassemia patients were defined as ≥3 encounters with a thalassemia diagnosis code. Transfusion was defined by the presence of a diagnosis, CPT, revenue, or HCPCS code for red cell transfusion. Results: There were 428 patients identified; 57 received multi-site transfusions. Conclusion: Georgia hospitals provide intermittent transfusions to low volumes of probable NTDT patients. Patient and provider education may help assure adherence to best practices, avoiding serious transfusion complications.
2007-2016年格鲁吉亚州治疗地中海贫血的间歇性输血
背景:非输血依赖型地中海贫血(NTDT)患者可能不需要频繁输血。了解输血史虽然很重要,但在这个亚组中可能具有挑战性。研究设计:回顾了格鲁吉亚2007-2016年的出院数据。地中海贫血患者定义为遇到地中海贫血诊断代码≥3次。输血的定义是红细胞输血的诊断、CPT、收入或HCPCS代码。结果:共发现428例患者;57例接受多部位输血。结论:乔治亚州的医院为少量可能的NTDT患者提供间歇性输血。对患者和提供者进行教育有助于确保遵守最佳做法,避免严重的输血并发症。
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