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http://hdl.handle.net/10397/88720
Title: | Provision of phenotype-matched blood units : no need for pre-transfusion antibody screening | Authors: | Lau, FY Wong, R Chan, NPH Chui, CH Ng, E Ng, MHL Cheng, G |
Issue Date: | Jul-2001 | Source: | Haematologica, July 2001, , v. 86, no. 7, p. 742-748 | Abstract: | Background and Objectives. The Hong Kong government is planning to introduce an electronic smart identity card for all seven million citizens in 2003. If the smart card contains the full red cell phenotype/genotype of the individual, it may be possible to transfuse phenotype-matched blood units without pre-transfusion antibody screening. We conducted a feasibility study. Design and Methods. Red cell phenotype was determined for 407 donor blood units and 493 patients for whom an antibody screen had been ordered. The computer program selected phenotype-matched blood from the donor stock for the patients according to actual transfusion request. For patients with a positive antibody screen, full crossmatching was carried out with the computer-selected phenotype units. The frequencies of the various red cell phenotypes in the population were calculated from Red Cross data of antigen frequencies. The probabilities of finding at least one unit of phenotype-matched blood from a 300-unit hospital stock and a 4,000-unit Red Cross stock were determined for each phenotype. Cost analysis was performed. Results. Ninety-two out of 493 patients received a total of 395 blood units. The required number of phenotype-matched blood units could be found for 92 patients using a 300-unit pool and for all patients using a 4,000-unit pool. We calculated that phenotype-matched blood could be provided for more than 98% of patients without antibody screening, The total cost of the project is US$ 98 million with potential savings of US$ 14 million per year. Interpretation and Conclusions. It is feasible and cost-effective to transfuse patients with phenotype-matched blood without antibody screening using a smart card system. (C) 2001, Ferrata Storti Foundation. |
Keywords: | Phenotype-matched blood Pre-transfusion screening |
Publisher: | Fondazione Ferrata Storti | Journal: | Haematologica | ISSN: | 0390-6078 | EISSN: | 1592-8721 | Rights: | Papers in Haematologica are published under a Creative Commons license CC BY-NC-ND (https://creativecommons.org/licenses/by-nc-nd/4.0/legalcode). According to this license, an article may be copied, displayed, distributed, republished or otherwise reused provided the reuse is not an adaptation or a modification and the integrity of the original paper is maintained. This license does not allow for any kind of commercial use of the paper. For more details, see About Haematologica The following publication FY Lau, R Wong, NP Chan, CH Chui, E Ng, MH Ng, G Cheng. Provision of phenotype-matched blood units: no need for pre-transfusion antibody screening. Haematologica 2001;86(7):742-748 is available at https://haematologica.org/article/view/2076 |
Appears in Collections: | Journal/Magazine Article |
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