Asian Journal of Transfusion Science
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ORIGINAL ARTICLE
Year : 2020  |  Volume : 14  |  Issue : 2  |  Page : 158-166

Platelets transfusion in Greece: Where, when, why? A national survey


1 Hematology, Laboratory-Blood Bank Department, Aretaieion Hospital, National and Kapodistrian University of Athens, Medical School, Greece
2 Second Department of Pathology, National and Kapodistrian University of Athens, “Attikon” University Hospital, Greece
3 Department of Blood Transfusion, Laiko General Hospital, Athens, Greece
4 Department of Blood Transfusion, “Saints Anargyroi” Hospital, Greece
5 Blood Transfusion Center, University Hospital, Patras, Greece
6 Department of Blood Transfusion, AHEPA, University Hospital of Thessaloniki, Thessaloniki, Greece
7 Department of Blood Transfusion, Evangelismos Hospital, Athens, Greece
8 Department of Blood Transfusion, University Hospital of Ioannina, Ioannina, Greece
9 Department of Blood Transfusion, University Hospital of Heraklion, Heraklion, Greece
10 Department Blood Transfusion, Metaxa Oncology Hospital, Greece
11 Laboratory of Hematology and Blood Bank Unit, “Attikon” University Hospital, National and Kapodistrian Athens, Greece
12 Department of Blood Transfusion, General Hospital Sismanogleio, Greece
13 Department of Transfusion Service and Clinical Hemostasis, “Saint Savvas” Oncology Hospital of Athens, Greece
14 Department of Blood Transfusion, “Amalia Fleming” Hospital, Greece
15 Blood Transfusion Centre, General Hospital of Nikea, Greece
16 Department of Blood Transfusion, General Hospital Alexandra, Greece
17 Department of Blood Transfusion, University Hospital of Alexandroupolis, Alexandroupolis, Greece
18 Department of Blood Transfusion, General Hospital Nea Ionia “Agia Olga”, Greece
19 Department of Blood Transfusion, “Hatzikosta” General Hospital of Ioannina, Ioannina, Greece
20 Department of Blood Transfusion, General Hospital of Katerini, Katerini, Greece
21 Department of Blood Transfusion, General Hospital of Kavala, Kavala, Greece
22 Department of Blood Transfusion, General Hospital of Messologgi, Messologgi, Greece
23 Department of Blood Transfusion, General Hospital of Pirgos, Pirgos, Greece
24 Department of Blood Transfusion, General Hospital “Tzaneio” of Piraeus, Greece
25 Second Department of Propedeutic Surgery, “Medical School, Laiko” General Hospital, National and Kapodistrian University of Athens, Greece
26 Hellenic National Blood Transfusion Center, Greece

Correspondence Address:
Dr. Serena Valsami
Hematology, Laboratory-Blood Bank Department, Aretaieion Hospital, National and Kapodistrian University of Athens Medical School, Athens
Greece
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajts.AJTS_72_18

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Background: Platelet transfusion is among the most useful therapeutic tools in modern clinical settings which mean that ensuring an adequate supply is of paramount importance. Aim: The aim of our study was to record the use and wastage of platelet concentrates (PCs) in Greece, so as to come up with evidence-based interventions. Methods: The study was conducted during May and June 2015. We evaluated the use of random-donor platelets (RDPs) and single-donor apheresis platelets (SDPs). We analyzed such parameters as hospital department and diagnosis, indication for transfusion, PCs' age at the time of transfusion, and wastage rate. Results: We used data from 21 hospitals across the country. A total of 12,061 RDPs and 1189 SDPs were transfused, with an average of 4.84 (±2.72) and 1.12 (±2.73) units per episode, respectively. Most patients had been admitted to the internal medicine and hematology departments. The transfusions were mostly given prophylactically, usually in cases of acute leukemia, and mostly on the day before expiration. Wastage rate was 16.75% for RPDs and 2.70% for SDPs, primarily because of the expiration of the use-by date. Conclusions: This is the first national survey regarding platelet transfusion in Greece. Since most patients were admitted in internal medicine and hematology departments, we recommend that the staff of the abovementioned departments should undergo training on contemporary transfusion guidelines. Platelet discard rate could further be lowered through the centralization of inventory management along with the extension of the lifetime of PCs by means of emerging technologies.


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2006 - Asian Journal of Transfusion Science | Published by Wolters Kluwer - Medknow
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