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Innovative blood transfusion strategies to address global blood deserts: a consensus statement from the Blood Delivery via Emerging Strategies for Emergency Remote Transfusion (Blood DESERT) Coalition.
Raykar, Nakul P; Raguveer, Vanitha; Abdella, Yetmgeta Eyayou; Ali-Awadh, Asma; Arora, Harshit; Asamoah-Akuoko, Lucy; Barnes, Linda S; Cap, Andrew P; Chowdhury, Aulina; Cooper, Zara; Delaney, Meghan; DelSignore, Marisa; Inam, Sidra; Ismavel, Vijay Anand; Jensen, Kennedy; Kumar, Nikathan; Lokoel, Gilchrist; Mammen, Joy John; Nathani, Priyansh; Nisingizwe, Marie Paul; Puyana, Juan Carlos; Riviello, Robert; Roy, Nobhojit; Salim, Ali; Tayou-Tagny, Claude; Virk, Sargun; Wangamati, Caroline Wesonga.
Afiliación
  • Raykar NP; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA; Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA. Electronic address: nraykar@bwh.harvard.edu.
  • Raguveer V; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.
  • Abdella YE; Regional Office for the Eastern Mediterranean, WHO, Cairo, Egypt.
  • Ali-Awadh A; Sub-county Langata and Kibera, Nairobi Metropolitan Health Services, Nairobi, Kenya; Sisu Global Health, Baltimore, MD, USA.
  • Arora H; Department of Neurosurgery, Brigham and Women's Hospital, Boston, MA, USA.
  • Asamoah-Akuoko L; Department of Research, Planning, Monitoring, and Evaluation, National Blood Service, Accra, Ghana.
  • Barnes LS; Biotherapies, AABB, Bethesda, MD, USA.
  • Cap AP; US Army Institute of Surgical Research, Houston, TX, USA.
  • Chowdhury A; Department of Anesthesia, Boston Children's Hospital, Boston, MA, USA.
  • Cooper Z; Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA.
  • Delaney M; Department of Pathology and Laboratory Medicine, Children's National Hospital, Washington, DC, USA.
  • DelSignore M; University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
  • Inam S; Allied Hospital Faisalabad, Faisalabad, Pakistan.
  • Ismavel VA; Department of Surgery, Christian Medical College, Vellore, India.
  • Jensen K; Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
  • Kumar N; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA; Department of Surgery, University of California San Francisco, East Bay, Oakland, CA, USA.
  • Lokoel G; Department of Medical Services, Turkana County Government, Lodwar, Kenya.
  • Mammen JJ; Department of Transfusion Medicine, Christian Medical College, Vellore, India.
  • Nathani P; Dr RN Cooper Municipal Medical College and General Hospital: Hinduhridaysamrat Balasaheb Thackeray Medical College and Rustom Narsi Cooper Municipal General Hospital, Mumbai, India; WHO Collaboration Center for Research in Surgical Care Delivery in Low and Middle Income Countries, Mumbai, India.
  • Nisingizwe MP; Department of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
  • Puyana JC; Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
  • Riviello R; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA; Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA.
  • Roy N; Operative Care, Clinical Services and Systems, WHO, Geneva, Switzerland.
  • Salim A; Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA.
  • Tayou-Tagny C; Department of Haematology and Transfusion Medicine, University of Yaoundé, Yaoundé, Cameroon.
  • Virk S; WHO Collaboration Center for Research in Surgical Care Delivery in Low and Middle Income Countries, Mumbai, India.
  • Wangamati CW; Coalition of Blood for Africa, Nairobi, Kenya.
Lancet Glob Health ; 12(3): e522-e529, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38365422
ABSTRACT
In rural settings worldwide, many people live in effective blood deserts without access to any blood transfusion. The traditional system of blood banking is logistically complex and expensive for many resource-restricted settings and demands innovative and multidisciplinary solutions. 17 international experts in medicine, industry, and policy participated in an exploratory process with a 2-day hybrid seminar centred on three promising innovative strategies for blood transfusions in blood deserts civilian walking blood banks, intraoperative autotransfusion, and drone-based blood delivery. Participant working groups conducted literature reviews and interviews to develop three white papers focused on the current state and knowledge gaps of each innovation. Seminar discussion focused on defining blood deserts and developing innovation-specific implementation agendas with key research and policy priorities for future work. Moving forward, advocates should prioritise the identification of blood deserts and address the context-specific challenges for these innovations to alleviate the ongoing crisis in blood deserts.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bancos de Sangre / Transfusión Sanguínea Límite: Humans Idioma: En Revista: Lancet Glob Health / Lancet Glob. Health / The Lancet. Global health Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bancos de Sangre / Transfusión Sanguínea Límite: Humans Idioma: En Revista: Lancet Glob Health / Lancet Glob. Health / The Lancet. Global health Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido