Abstract
Platelet usage during mechanical circulatory support is well described in the literature. However, there is a limited shelf life on platelets. Platelets were required on site when a patient is placed on mechanical circulatory support. We audited the amount of platelet returns in a tertiary referral center for mechanical circulatory support. The standard for platelet wastage was <12% of platelets used as determined by the excellence criteria by NHS Scotland.
Highlights
Platelet demands have steadily increased according to NHS SCOTLAND BETTER BLOOD TRANSFUSION’s latest audit report (2012)
Data collection was done by matching the platelet returns that were coded via unit numbers to CHI numbers of patients
As our centre serves as the advanced heart failure unit as well as the Cardiac Transplant Service for Scotland, we provide Extracorporeal membranous oxygenation services (ECMO) and Ventricular Assist Devices (VADS)
Summary
Platelet demands have steadily increased according to NHS SCOTLAND BETTER BLOOD TRANSFUSION’s latest audit report (2012). Platelet demand in the current year is expected to rise by 5%, following a rise of 8.6% last year. There are several reasons to explain this continuing expectant rise of platelet demands. In NHSBT’s latest annual report (2012) the rising trend was noted across Europe. Diana Jodeh et al.: Audit of Platelet Returns at the Golden Jubilee National Hospital (March 2014-March 2015). This increasing demand is partially attributed to several factors nationally including improved survival from haematological conditions and malignancies, trauma and other sources of massive haemorrhage alongside liver disease and gastrointestinal bleeding. We decided to look into each platelet return in further detail
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