A Descriptive Retrospective Study on the Discard Rate and Reasons for Blood Products in Turkish Red Crescent Regional Blood Centers

Öz

Aim: Blood is an essential and valuable fluid for human life. This study aims to determine the quantity of blood products produced and discarded in 18 regional blood centers affiliated with the Turkish Red Crescent General Directorate of Blood Services and the reasons for their disposal. Material and Methods: The research is a retrospective descriptive study. The study population consists of 18 regional blood centers affiliated to the Turkish Red Crescent General Directorate of Blood Services between 2017-2023. No sample selection was made, and the entire population was included in the evaluation. The data were obtained from the annual activity reports of the Turkish Red Crescent Blood Services General Directorate. Microsoft Excel PivotTable reports and descriptive statistics were used for data analysis. Results: It was determined that a total of 28 960 328 units of blood products were prepared in the regional blood centers affiliated with the Turkish Red Crescent General Directorate of Blood Services, and 3.23% (936 653) of these products were discarded. Fresh frozen plasma had the highest disposal rate at 6.10%. The study found that erythrocyte suspension was most commonly discarded due to seropositivity (48.55%), pooled platelet suspension due to expiration (75.44%), and fresh frozen plasma due to high lipid content (49%). Conclusion: Conducting studies to reduce the reasons for the disposal of blood products, which are one of the essential and valuable fluids for human survival, on a national scale is important for ensuring that these products are used for patients who truly need them and for reducing healthcare costs.

Anahtar Kelimeler

• Erythrocytes
• blood
• fresh frozen plasma
• platelets

Türk Kızılay’ı Bölge Kan Merkezlerinde Kan Ürünleri İmha Oranı ve Nedenleri Üzerine Tanımlayıcı Retrospektif Bir Çalışma

Öz

Amaç: Kan, insan hayatı için vazgeçilmez ve değerli sıvılardan biridir. Bu çalışmanın amacı Türk Kızılay’ı Kan Hizmetleri Genel Müdürlüğüne bağlı 18 bölge kan merkezinde üretilen ve imha edilen kan ürünlerinin miktarını ve imha nedenlerini ortaya koymaktır. Gereç ve Yöntem: Araştırma retrospektif türde tanımlayıcı bir çalışmadır. Çalışmanın evrenini 2017-2023 yılları arasında Türk Kızılay’ı Kan Hizmetleri Genel Müdürlüğüne bağlı 18 bölge kan merkezi oluşturmaktadır. Çalışmada örneklem seçimine gidilmemiş ve evrenin tamamı değerlendirmeye alınmıştır. Veriler Türk Kızılay’ı Kan Hizmetleri Genel Müdürlüğü yıllık faaliyet raporlarından elde edilmiştir. Verilerin analizinde Microsoft Excel PivotTable raporlarından ve tanımlayıcı istatistiklerden faydalanılmıştır. Bulgular: Türk Kızılay’ı Kan Hizmetleri Genel Müdürlüğü’ne bağlı bölge kan merkezinde toplam 28.960.328 ünite ürün hazırlandığı ve bu ürünlerin %3.23’ünün (936.653) imha edildiği tespit edilmiştir. İmha oranı en yüksek ürünün taze donmuş plazma (%6.10) olduğu saptanmıştır. Çalışmada eritrosit süspansiyonunun en fazla seropozitiflik (%48.55), havuzlanmış trombosit süspansiyonunun en fazla miad dolumu (%75.44), taze donmuş plazmanın ise en fazla lipitli (%49) olması nedeniyle imha edildiği tespit edilmiştir. Sonuç: İnsanın hayatta kalabilmesi için temel ve değerli sıvılardan biri olan kan ürünlerinin ulusal ölçekte imha nedenlerinin azaltılması amacıyla çalışmalar yapılması, ürünün gerçek anlamda ihtiyaç duyan hastalar için kullanılması ve sağlık hizmet maliyetlerinin azaltılması açısından önemlidir.

Anahtar Kelimeler

• Eritrosit
• kan
• taze donmuş plazma
• trombosit

Kaynakça

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