[Evolution of the blood products distribution in France - detailed analysis in a regional blood transfusion centre]. / Evolution de la distribution des produits sanguins labiles en France - analyse détaillée au sein d'un Etablissement français du sang interrégional.

ABSTRACT

OBJECTIVE: The present increase of blood products distribution raises some adaptation questions. To understand this evolution, it is necessary to assure patients needs satisfaction. STUDY DESIGN: The study focuses on years 1997 to 2007. All blood products and hospitals are taken into account. The possible impact of size and clinical specialties is analyzed for the main hospitals. RESULTS: The evolution varies according to blood product continuous drop for autologous red cells and plasmas, drop and rise for homologous red cells and platelets with a turnaround in 2001-2002, reverse and more chaotic movement for homologous plasmas. These movements are the result of public hospitals, with an upsurge of the medium sized ones. Private hospitals go down for all blood products, with a concentration on the larger ones. Surgical hospitals fall from 3 to 4% for all blood products, while medical ones rise of 3% for homologous red cells, 27% for platelets and fall of 10% for homologous plasmas. Private mixed hospitals fall for all blood products, while public ones rise for homologous red cells and platelets. CONCLUSION: Evolution understanding of blood products distribution requires precisions about the kind of products and the hospitals status and specialties medical, surgical, even obstetrical or urgency-related. The present trend is a rise for public hospitals and medical specialties, which are both the largest. Blood transfusion needs will thus go on rising in the years to come.