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 32583506!7361376!32583506
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Transfusion 2020 ; 60 (9): 1919-1923 Nephropedia Template TP
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Blood transfusion utilization in hospitalized COVID-19 patients #MMPMID32583506Barriteau CM; Bochey P; Lindholm PF; Hartman K; Sumugod R; Ramsey GTransfusion 2020[Sep]; 60 (9): 1919-1923 PMID32583506show ga
BACKGROUND: The acute respiratory illness designated coronavirus disease 2019 (COVID-19) was first reported in Wuhan, China, in December 2019 and caused a worldwide pandemic. Concerns arose about the impact of the COVID-19 pandemic on blood donations and potential significant blood transfusion needs in severely ill COVID-19 patients. Data on blood usage in hospitalized COVID-19 patients are scarce. STUDY DESIGN AND METHODS: We performed a retrospective observational study of blood component transfusions in the first 4 weeks of COVID-19 ward admissions. The study period began 14 days before the first COVID-19 cohort wards opened in our hospital in March 2020 and ended 28 days afterward. The number of patients and blood components transfused in the COVID-19 wards was tabulated. Transfusion rates of each blood component were compared in COVID-19 wards versus all other inpatient wards. RESULTS: COVID-19 wards opened with seven suspected patients and after 4 weeks had 305 cumulative COVID-19 admissions. Forty-one of 305 hospitalized COVID-19 patients (13.4%) received transfusions with 11.1% receiving red blood cells (RBCs), 1.6% platelets (PLTs), 1.0% plasma, and 1.0% cryoprecipitate (cryo). COVID-19 wards had significantly lower transfusion rates compared to non-COVID wards for RBCs (0.03 vs 0.08 units/patient-day), PLTs (0.003 vs 0.033), and plasma (0.002 vs 0.018; all p < 0.0001). Cryo rates were similar (0.008 vs 0.009, p = 0.6). CONCLUSIONS: Hospitalized COVID-19 patients required many fewer blood transfusions than other hospitalized patients. COVID-19 transfusion data will inform planning and preparation of blood resource utilization during the pandemic.|Academic Medical Centers/statistics & numerical data[MESH]|Appointments and Schedules[MESH]|Blood Component Transfusion/statistics & numerical data[MESH]|Blood Transfusion/*statistics & numerical data[MESH]|COVID-19/complications/*therapy[MESH]|Chicago[MESH]|Disseminated Intravascular Coagulation/etiology/therapy[MESH]|Elective Surgical Procedures[MESH]|Health Services Needs and Demand/statistics & numerical data[MESH]|Hospital Departments[MESH]|Hospitals, Urban/statistics & numerical data[MESH]|Humans[MESH]|Inpatients/*statistics & numerical data[MESH]|Procedures and Techniques Utilization[MESH]
  
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