Blood transfusion service in Poland in 2018

Streszczenie

Background: Assessment of the basic aspects of the activity of the Polish Regional Blood Transfusion Centers (hereinafter referred to as Centers) in 2018.

Materials and methods: Retrospective analysis of the 2018-data supplied by the Centers.

Results: In 2018, blood and blood components were collected in 21 Centers and 132 local collection sites as well as during 13 189 mobile collections. The overall number of blood donors was estimated at 590 470; the majority were non-remunerated donors (589 897 — including 37 824 responders to donation appeals), 73 remunerated donors and 500 autologous donors. Most frequent were whole blood collections (1 184 311), least frequent — granulocyte concentrate collections (116) and red blood cell (RBC) collection by apheresis (31 donations). Whole blood was collected mostly in local collection sites (44.85%), less frequently in Centers (28.47%) and at mobile collection sites (26.67%). Most frequently prepared blood components were RBC — 1 161 600 units) and fresh frozen plasma (FFP — 1 298 216 units; 20.93% dedicated for clinical use). Platelet concentrates (PCs) collected by apheresis amounted to 50 255 units and 83 598 were whole blood-derived.

Additional processing methods such as leukocyte depletion and irradiation were more frequently applied to PCs (32.56% leukocyte depleted, 1.37% irradiated, 58.07% both leukocyte depleted and irradiated) than to RBCs (17.29% leukocyte depleted, 0.31% irradiated, 8.94% both leukocyte depleted and irradiated). Pathogen reduction technologies were applied to 11.74% of PCs and 10.23% units of FFP issued for transfusion.

In 2018 — for various reasons — 14 067 units of whole blood, 30 521 units of RBC, 49 979 units of FFP, 1376 units of cryoprecipitate, 5186 units of pooled PCs and 1625 of apheresis PCs were wasted.

Conclusions: The study data may contribute to evaluation of the tendencies observed in Centers and may serve practical-benchmarking which in turn may prove beneficial to the transfusion community as a whole.