Autologous Blood Transfusions in the Czech Republic in 2002

Overview

Introduction:
The author describes the autologous programmes situation in the Czech Republic (CR) in2002. Methods: 150 departments were sent questionnaires mapping the implementation of autologousprogrammes in the CR in 2002. Results: 108 departments responded. 21591 preoperative autologouswhole blood donations (PAD) were performed (4,6% of all whole blood donations, incl. allogeneic ones).This number included 86 donations in children and 19 donations in pregnant women. 66 autologousdonations by erythrocytopheresis and 74 by plasmapheresis, 2840 acute normovolaemic haemodilution(ANH) and 209 cases of perioperative blood salvage (PBS) were made.Two thirds of collected autologousblood units were processed in whole blood, one third of them in red blood cells and somewhat less inplasma. Discussion: Among autologous donations in the CR PAD predominates, the number of PAD in2002 has increased in comparison to 2001. Most of the PADs were performed in the Vysočina region,and the least rate was in the Středočeský region. The detection of anti-HCV, anti-HIV-1,2, HBsAg andsyphilis was higher in autologous blood donations than in allogeneic ones. In the first time donors theincidence of anti-HCV and HBsAg was higher than in allogeneic ones. The number of aphereticautologous donations declined as compared with previous year. The number of reported transfusionreactions has increased. Data on ANH and PBS are underrated due to the non-participation of manyanaesthesiological and recuscitation departments including large hospitals.

Key words:
autologous blood donation, preoperative blood donation, apheresis, acute normovolaemichaemodilution, peroperation blood salvage