The aging population poses a global challenge for blood services
The aging population poses a global challenge for blood services
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DOI：
10.1111/j.1537-2995.2009.02490.x
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发表时间：
2010-03-01
期刊：
影响因子：
2.9
通讯作者：
Rautonen, Jukka
中科院分区：
文献类型：
--
作者：
Ali, Akif;Auvinen, Marja-Kaisa;Rautonen, Jukka
背景：芬兰的输血登记数据表明，随着人口的持续老龄化，输血服务可能会面临一些令人担忧的信号和未来的挑战。STUDY设计和方法：对芬兰所有可能输血的患者进行了计算机化的数据收集，覆盖了近70%的血液使用。我们根据芬兰的做法模拟了不同年龄组的红细胞(RBC)使用量，但对其他国家的人口统计数据进行了模拟。结果：芬兰的数据显示，从50岁左右开始，受者的红细胞消耗量随着年龄的增长而显著增加。70-80岁人群的RBC消耗量是20-40岁人群的8倍。结论：RBC人均使用量的差异很大程度上可以由不同人群的年龄分布来解释，而不是由所使用的不同的国家和地区的治疗政策和方案来解释。如果目前的努力不足以满足不断变化的人口结构，如果对血液产品日益增长的需求得不到满足，就需要考虑采取前所未有的措施，例如扭转某些献血者推迟献血的情况，甚至将血液从一个国家出口到另一个国家。
BACKGROUND: The Finnish transfusion registry data suggest some alarming signals and future challenges that are likely to be faced by transfusion services as populations continue to age.STUDY DESIGN AND METHODS: Computerized data collection was performed on all potentially transfused patients in Finland, thus covering similar to 70% of all blood usage. We simulated the red blood cell (RBC) usage according to the Finnish practice on different age groups but the population demographics from other countries.RESULTS: The Finnish data demonstrate a marked increase in RBC consumption with increasing age among recipients, beginning at around 50 years of age. The 70- to 80-year-olds have an eightfold higher RBC consumption than 20- to 40-year-olds.CONCLUSIONS: A large part of the variation in RBC use per capita can be explained by the age distribution of the different populations and not by the different national and regional treatment policies and protocols used. If current efforts are not enough to serve the changing population demographic and if increasing demands for blood products cannot be met, there is need to consider unprecedented measures such as reversing certain donor deferrals or even exporting blood from country to country.