적혈구 보존과 자기혈 수혈에 관한 연구 = A Study on the Red Blood Cells Stored and Autologous Blood Donation

다국어 초록 (Multilingual Abstract)

A heightened awareness of both physicians and patients as to the risk of disease transmission by blood transfusion has led to a significant increase in requests for autologous blood donation.
The benefits of autologous transfusion have been well documented, but overuse of these programs could lead to inappropriate autologous donation before low-risk elective surgery.
Since over collection can be costly and time-consuming and can involve some small health risk to the patient during the donation procedure, this practice needs to be avoided.
On the other hand, inflexible guidelines restricting autologous blood donation could lead to undercollection, which could undo the great benefit of autologous transfusion by creating unwarranted risk through excessive exposure of the patient to allogeneic blood.
It is necessary therefore to develop recommendations for the desirable quantity of autologous donation for specific surgical procedures.
We have suggested the creation of a schedule of optimal preoperative collection of autologous blood at the local hospital level in an effort to maximize safety while minimizing cost.
Such a schedule could also be used by third-party health care insurers in arriving at policies for reimbursement of the costs associated with the collection and storage of autologous blood.
In Korea, autologous blood practice is at the beginning and very primitive but the participation in autologous blood donation programs will be increased.
The results of our retrospective analysis suggest that preoperative autologous blood-donation in patients planning open heart surgery are safe and effective.