Storage Age of RBCs Transfused by a Prehospital Patient Transport Program vs the Hospital Emergency Department

Eric A. Gehrie, Penny C. Szklarski, Kevin Nooner, Garrett S. Booth

Research output: Contribution to journalArticle

Abstract

Objectives: Recently published data suggest that transfusion of RBCs stored for 22 days or longer was associated with increased mortality among massively transfused trauma patients. Methods: We performed a 24-month retrospective review of medical transport service transfusion records and a 2-month, overlapping review of transfusions of uncrossmatched RBCs in the emergency department. Results: RBC units issued to the transport program were older than RBC units issued to the emergency department trauma refrigerator (10.6 vs 8.7 days, P <. 001). Similarly, RBC units were older at the time of transfusion during transport compared with the emergency department (20.3 vs 14.3 days, P <. 001). Conclusions: Transport programs and blood banks should jointly review their RBC inventory management programs. Issuing RBCs to a medical transport program is a logistical challenge that, unless actively managed, may not ensure access to blood that is as fresh as blood in the emergency department.

Original languageEnglish (US)
Pages (from-to)537-541
Number of pages5
JournalAmerican journal of clinical pathology
Volume152
Issue number4
DOIs
StatePublished - Sep 9 2019

Keywords

  • Education
  • Management/administration
  • Transfusion medicine

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

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