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. 2021 Sep;61(9):2611-2620.
doi: 10.1111/trf.16561. Epub 2021 Jul 19.

A survey of US hospitals on platelet inventory management, transfusion practice, and platelet availability

Suchitra Pandey  1   2 , Geoffrey A Belanger  2 , Srijana Rajbhandary  3 , Claudia S Cohn  3   4 , Richard J Benjamin  5 , Arthur W Bracey  6 , Louis M Katz  7 , Jay E Menitove  8 , Paul D Mintz  9 , Richard R Gammon  10
Affiliations

A survey of US hospitals on platelet inventory management, transfusion practice, and platelet availability

Suchitra Pandey et al. Transfusion. 2021 Sep.

Abstract

Background: A survey of US hospitals was conducted to increase our understanding of the current state of platelet (PLT) practice and supply. The survey captures information on transfusion practice and inventory management, including stock levels, outdate rates, ability to return or transfer PLTs, and low dose PLTs. Notably, the survey also elucidates PLT availability challenges and impact to patient care.

Study design and methods: A 27 question online survey was distributed directly to over 995 US hospitals and indirectly through blood centers to many more between September 27 and October 25, 2019. Descriptive statistics were used for respondent characteristics. Bivariate analysis was performed and correlation coefficients, chi square tests, and p values determined statistical significance of relationships between variables.

Results: Four hundred and eighty-one hospitals completed the survey of which 21.6%, 53.2%, and 25.2% were characterized as small, medium, and large hospitals, respectively. Some key observations from this survey include: (1) there is an opportunity for greater adherence to evidence-based guidelines; (2) higher outdate rates occur in hospitals stocking less than five PLTs and the ability to return or transfer PLTs lowers outdates; (3) use of low dose apheresis PLTs varies; and (4) decreased PLT availability is commonly reported, especially in hospitals with high usage, and can lead to delays in transfusions or surgeries.

Conclusion: This survey represents a comprehensive national assessment of inventory management practices and PLT availability challenges in US hospitals. Findings from this survey can be used to guide further research, help shape future guidance for industry, and assist with policy decisions.

Keywords: blood management; platelet inventory; platelet transfusion; transfusion practices (adult).

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References

REFERENCES

    1. Land K, Whitaker B, Uhl L. National Hemovigilance, the current state. In: Fung MK, editor. Technical manual. 20th ed. Bethesda, MD: AABB Press; 2020.
    1. Jones JM, Sapiano MR, Savinkina AA, Haass KA, Baker ML, Henry RA, et al. Slowing decline in blood collection and transfusion in the United States - 2017. Transfusion. 2020;60:S1-9.
    1. Ellingson KD, Sapiano MRP, Haass KA. Continued decline in blood collection and transfusion in the United States-2015. Transfusion. 2017;57:1588-98. https://doi.org/10.1111/trf.14165
    1. Jones JM, Sapiano MRP, Mowla S, Bota D, Berger JJ, Basavaraju SV. Has the trend of declining blood transfusions in the United States ended? Findings of the 2019 National Blood Collection and Utilization Survey. Transfusion. 2021. https://doi.org/10.1111/trf.16449
    1. Gottschall J, Wu Y, Triulzi D, Kleinman S, Strauss R, Zimrin AB, et al. The epidemiology of platelet transfusions: an analysis of platelet use at 12 US hospitals. Transfusion. 2020;60:46-53. https://doi.org/10.1111/trf.15637