Development of permanent national register of blood component use utilizing electronic hospital information systems |
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Authors: | Palo R Ali-Melkkilä T Hanhela R Jäntti V Krusius T Leppänen E Mahlamäki E K Perhoniemi V Rajamäki A Rautonen J Salmenperä M Salo H Salonen I Savolainen E-R Sjövall S Suistomaa M Syrjälä M Tienhaara A Vähämurto M Mäki T |
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Affiliation: | Finnish Red Cross Blood Service, Helsinki, Finland. riikka.palo@hus.fi |
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Abstract: | BACKGROUND AND OBJECTIVES: We wanted to establish a permanent national database system, which can be utilized to study transfusion recipients and blood use in Finland. MATERIALS AND METHODS: A regularly updated register for permanent use was developed. To study the usability of the database, years 2002 and 2003 were further analysed. Database included all transfused patients in major blood-transfusing hospitals from four university and five central hospital districts managing altogether 63% of Finnish inpatient hospital episodes. RESULTS: Audit of gathered data reveal 96.8% match in adult blood components with Finnish Red Cross, Blood Service sales figures. Model data set includes 59,535 transfused patients (44.3% men and 55.7% women) having received 529,104 blood components. Half of all blood units were transfused in connection with surgical operations. Most of the blood recipients were elderly (51.6% are over 64 years of age). Blood-component use and transfusion-related costs varied widely between hospitals. CONCLUSION: Hospital data managing systems can be useful for creating a population-based database system to monitor and compare transfusion practices. This record provides information about transfusion epidemiology for transfusion professionals, hospital management, and hospital administration. |
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Keywords: | data collection transfusion transfusion practices |
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