Amber Nguyen, Sarah Burnett-Greenup, Diana Riddle, Janet Enderle, Carol Carman, Rajkumar Rajendran
{"title":"一家学术教学医院在 COVID-19 初潮前、隔离期间和隔离后的血液使用和浪费情况。","authors":"Amber Nguyen, Sarah Burnett-Greenup, Diana Riddle, Janet Enderle, Carol Carman, Rajkumar Rajendran","doi":"10.1093/labmed/lmad059","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Transfusion services aim to maintain sufficient blood inventory to support patients, even with challenges introduced by COVID-19.</p><p><strong>Objectives: </strong>To review blood usage and wastage before, during, and after COVID-19 surges, and to evaluate effects on inventory.</p><p><strong>Methods: </strong>In a retrospective review, we evaluated the association between time periods corresponding to the initial wave of COVID-19 (pre-COVID-19, quarantine, and postquarantine) and blood usage/wastage. Data were stratified by period, and χ2 testing was used to examine the association between these time periods and blood usage/wastage.</p><p><strong>Results: </strong>In the period before COVID-19, the transfusion service used more units, and in the period after quarantine, more units went to waste. Across all time periods, the most-used product was RBCs, and the most wasted product was plasma. A statistically significant association existed between usage (χ2 [6/3209 (0.2%)]) = 24.534; P ≤.001; Cramer V = 0.62), wastage (χ2 [6/775 (0.8%)]) = 21.673; P = .001; Cramer V = 0.118), and time period. The postquarantine period displayed the highest wastage costs ($51,032.35), compared with the pre-COVID-19 period ($29,734.45).</p><p><strong>Conclusion: </strong>Changes in blood inventory use and waste are significantly associated with the onset and continuation of COVID-19.</p>","PeriodicalId":17951,"journal":{"name":"Laboratory medicine","volume":" ","pages":"198-203"},"PeriodicalIF":0.0000,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Blood usage and wastage at an academic teaching hospital before the initial wave of COVID-19 and during and after its quarantine periods.\",\"authors\":\"Amber Nguyen, Sarah Burnett-Greenup, Diana Riddle, Janet Enderle, Carol Carman, Rajkumar Rajendran\",\"doi\":\"10.1093/labmed/lmad059\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Transfusion services aim to maintain sufficient blood inventory to support patients, even with challenges introduced by COVID-19.</p><p><strong>Objectives: </strong>To review blood usage and wastage before, during, and after COVID-19 surges, and to evaluate effects on inventory.</p><p><strong>Methods: </strong>In a retrospective review, we evaluated the association between time periods corresponding to the initial wave of COVID-19 (pre-COVID-19, quarantine, and postquarantine) and blood usage/wastage. Data were stratified by period, and χ2 testing was used to examine the association between these time periods and blood usage/wastage.</p><p><strong>Results: </strong>In the period before COVID-19, the transfusion service used more units, and in the period after quarantine, more units went to waste. Across all time periods, the most-used product was RBCs, and the most wasted product was plasma. A statistically significant association existed between usage (χ2 [6/3209 (0.2%)]) = 24.534; P ≤.001; Cramer V = 0.62), wastage (χ2 [6/775 (0.8%)]) = 21.673; P = .001; Cramer V = 0.118), and time period. The postquarantine period displayed the highest wastage costs ($51,032.35), compared with the pre-COVID-19 period ($29,734.45).</p><p><strong>Conclusion: </strong>Changes in blood inventory use and waste are significantly associated with the onset and continuation of COVID-19.</p>\",\"PeriodicalId\":17951,\"journal\":{\"name\":\"Laboratory medicine\",\"volume\":\" \",\"pages\":\"198-203\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-03-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Laboratory medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/labmed/lmad059\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Laboratory medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/labmed/lmad059","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Blood usage and wastage at an academic teaching hospital before the initial wave of COVID-19 and during and after its quarantine periods.
Background: Transfusion services aim to maintain sufficient blood inventory to support patients, even with challenges introduced by COVID-19.
Objectives: To review blood usage and wastage before, during, and after COVID-19 surges, and to evaluate effects on inventory.
Methods: In a retrospective review, we evaluated the association between time periods corresponding to the initial wave of COVID-19 (pre-COVID-19, quarantine, and postquarantine) and blood usage/wastage. Data were stratified by period, and χ2 testing was used to examine the association between these time periods and blood usage/wastage.
Results: In the period before COVID-19, the transfusion service used more units, and in the period after quarantine, more units went to waste. Across all time periods, the most-used product was RBCs, and the most wasted product was plasma. A statistically significant association existed between usage (χ2 [6/3209 (0.2%)]) = 24.534; P ≤.001; Cramer V = 0.62), wastage (χ2 [6/775 (0.8%)]) = 21.673; P = .001; Cramer V = 0.118), and time period. The postquarantine period displayed the highest wastage costs ($51,032.35), compared with the pre-COVID-19 period ($29,734.45).
Conclusion: Changes in blood inventory use and waste are significantly associated with the onset and continuation of COVID-19.