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60 million blood collection procedures are performed throughout
the world every year to obtain blood's three major parts
or "components": red cells, platelets, and plasma. These
blood components are given to patients in transfusions or
used to make drugs.
Blood transfusions help many life-saving medical treatments.
However, transfusing blood is like writing a prescription:
a doctor only gives a patient the blood component they need
for effective treatment.
Below are the blood components used in the treatment of
various conditions*:
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Liver Transplant |
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6-10 units of red blood cells
20 units of plasma
10 units of platelets |
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Adult Open Heart Surgery |
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2-6 units of red blood cells
2-4 units of plasma
1-10 units of platelets |
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Automobile Accident |
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4-40 units of red blood cells |
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Leukemia |
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2-6 units of red blood cells
6-8 units of platelets daily for 2-4 weeks |
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Sickle Cell Disease |
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10-15 units of red blood cells for severe cases |
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Of the blood components, red cells are the most frequently
used. Forty million units are transfused each year. Demand
for red cells continues to increase as supply continues
to decrease. There are several reasons for this trend.
Surgeries that require more transfusions, like organ transplants,
are increasing. Also, chemotherapy treatment for cancer
is becoming more common. Both transplants and chemotherapy
make it harder for patients to make their own healthy blood
cells, so these patients require frequent transfusions of
both platelets and red cells.
In the US, the population is aging. People who used to
be frequent blood donors are no longer able to give blood
and they are starting to use blood. Younger people have
not adopted blood donation as part of their lifestyle as
past generations have. Also, less people are eligible to
donate today because of the many restrictions on blood donors.
Travel to certain areas of the world make some people ineligible
to donate. Health problems and medications make some people
ineligible to donate. Body piercing and tattoos make some
people ineligible to donate for a year.
The world continues to see an increasing number of blood
shortages. Although the U.S. saw a record number of blood
donors in the fall of 2001 in response to the September
11th tragedy, by January of 2002, U.S. blood collectors
were already experiencing critical blood shortages. Weekly,
there are reports around the globe of blood collectors making
urgent "pleas" to donors. A 2000 survey* of the U.S. blood
supply noted that 7% of hospitals had postponed surgeries
because of lack of available blood at some point during
the year.
A new trend in the blood collection industry is a move
to filtering of blood. Filters remove potentially harmful
white blood cells from the blood prior to transfusion to
a patient. Ten countries currently require filtration of
all blood, and fourteen additional countries, including
the U.S., are moving toward filtering all blood.
With fewer donors, more demand, and the increasing costs
associated with insuring blood safety, the cost of red cells
is rising. By donating blood, you can make a real difference.
If blood collectors have enough donors, they can focus their
efforts on other areas and insure that your community has
enough blood in supply for all the patients that need it.
Your donation is important. You CAN make a difference.
*2000 Nationwide Blood Collection and Utilization Survey
conducted by the National Blood Data Resource Center.
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