Project duration: 01.2021 – 12.2023
Project description: Patient Blood Management is an evidence-based, multidisciplinary approach to caring for patients who might need a blood transfusion. Platelets are the second most commonly transfused cellular blood component, and is mainly indicated to treat or prevent bleeding in patients with thrombocytopenia or platelet function disorder. The increased demand and limited supply of platelet products show that judicious use of platelet transfusions is crucial. Read more
Project duration: 12.2021 – 12.2026
Project description: The international trend has been the re-emergence of whole blood as the primary replacement product for acute bleeding. Finnish Red Cross Blood Service has validated cold stored, 0 RhD positive, male donor, leucoreduced, platelet sparing, low ABO antibody titer whole blood product (LTOWB). For this prospective, open, non-randomized clinical study LTOWB will be used in three prehospital emergency medical services that currently use most of prehospital blood products in Finland (HUS area, Pirkanmaa area and Päijät-Häme area). Other participating prehospital emergency medical service bases provide controls. Blood transfusions will be given for clinical indication only.
Registry-based analysis for the need of pre-hospital transfusions will be conducted and model to predict this need in different situations will be made. In addition, in vitro properties of whole blood product are compared to other transfusion combinations. Read more
Project description: Neonates (newborn babies) are a highly transfused group, but robust evidence supporting transfusion practice is lacking, with significant variation in patterns of use as a result. Recent trials indicate little benefit from transfusing at liberal thresholds and in some cases even report evidence of harm. We aim to perform a point prevalence study to describe prevalence, indications, and component specifications of transfusions among preterm neonates in Europe. This will be the first Europe-wide study to generate neonatal transfusion benchmark data for all participating EBA members. It will highlight areas to improve practice and inform research gaps, while contributing to developing European neonatal transfusion guidelines, the design of new research studies, and a review of component specifications for neonates to match recipient needs. Read more