Prepare to adapt: blood supply and transfusion support during the first 2 weeks of the 2019 novel coronavirus (COVID-19) pandemic affecting Washington State.
Journal
Transfusion
ISSN: 1537-2995
Titre abrégé: Transfusion
Pays: United States
ID NLM: 0417360
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
17
03
2020
revised:
20
03
2020
accepted:
20
03
2020
pubmed:
22
3
2020
medline:
23
5
2020
entrez:
22
3
2020
Statut:
ppublish
Résumé
The first coronavirus (COVID-19) case was reported in United States in the state of Washington, approximately 3 months after the outbreak in Wuhan, China. Three weeks later, the US federal government declared the pandemic a national emergency. The number of confirmed COVID-19 positive cases increased rather rapidly and changed routine daily activities of the community. This brief report describes the response from the hospital, the regional blood center, and the hospital-based transfusion services to the events that took place in the community during the initial phases of the pandemic. In Washington State, the first week of March started with four confirmed cases and ended with 150; by the end of the second week of March there were more than 700 cases of confirmed COVID-19. During the first week, blood donations dropped significantly. Blood units provided from blood centers of nonaffected areas of the country helped keep inventory stable and allow for routine hospital operations. The hospital-based transfusion service began prospective triaging of blood orders to monitor and prioritize blood usage. In the second week, blood donations recovered, and the hospital postponed elective procedures to ensure staff and personal protective equipment were appropriate for the care of critical patients. As community activities are disrupted and hospital activities switch from routine operations to pandemic focused and urgent care oriented, the blood supply and usage requires a number of transformations.
Sections du résumé
BACKGROUND
The first coronavirus (COVID-19) case was reported in United States in the state of Washington, approximately 3 months after the outbreak in Wuhan, China. Three weeks later, the US federal government declared the pandemic a national emergency. The number of confirmed COVID-19 positive cases increased rather rapidly and changed routine daily activities of the community.
STUDY DESIGN AND METHODS
This brief report describes the response from the hospital, the regional blood center, and the hospital-based transfusion services to the events that took place in the community during the initial phases of the pandemic.
RESULTS
In Washington State, the first week of March started with four confirmed cases and ended with 150; by the end of the second week of March there were more than 700 cases of confirmed COVID-19. During the first week, blood donations dropped significantly. Blood units provided from blood centers of nonaffected areas of the country helped keep inventory stable and allow for routine hospital operations. The hospital-based transfusion service began prospective triaging of blood orders to monitor and prioritize blood usage. In the second week, blood donations recovered, and the hospital postponed elective procedures to ensure staff and personal protective equipment were appropriate for the care of critical patients.
CONCLUSION
As community activities are disrupted and hospital activities switch from routine operations to pandemic focused and urgent care oriented, the blood supply and usage requires a number of transformations.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
908-911Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2020 AABB.
Références
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Washington State Department of health. Available from: https://www.doh.wa.gov/Emergencies/Coronavirus.
Trump DJ. Proclamation on declaring a national emergency concerning the novel coronavirus disease (COVID-19) outbreak. White House Proclamations; 2020.
University of Washington. Press conference: University of Washingtonʼs response to COVID-19. UW News staff; 2020.
Green SJ. UW medicine gets green light to test for coronavirus. The Seattle Times 2020.
Bloodworks Northwest. Bloodworks Northwest reassures community itʼs safe to donate blood: donors reminded to visit neighborhood donor centers and blood drives. Bloodworks Northwest Press Release; 2020.
Bloodworks Northwest. Blood supply hits emergency level due to coronavirus concerns: community action needed to prevent blood supply collapse. Bloodworks Northwest Press Release; 2020.
Furfaro H, OʼSullivan J, Morton N, Bazzaz D. Inslee expands coronavirus K-12 school closure, 250-person gathering ban, across Washington. The Seattle Times 2020.
Tsubokura M, Nakada H, Matsumura T, et al. The impact of H1N1 influenza A virus pandemic on the blood donations in Hyogo Prefecture, Japan. Transfusion 2010;50:1803-5.
AABB Coronavirus resources. Available from: http://www.aabb.org/advocacy/regulatorygovernment/Pages/AABB-Coronavirus-Resources.aspx.