Assessment and discussion of quality monitoring data for red blood cell preparations

[Objective] To assess the data characteristics of quality monitoring indicators for red blood cell (RBC) preparations, so as to provide reference for continuous improvement of blood quality. [Methods] The quality inspection data of 6 types of RBC preparations from Chongqing blood center from 2019 to...

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Main Authors: QING Yun, DAI Huayou, YANG Junhong, XU Qian, WU Siqi, TIAN Yunbo, HUANG Xia
Format: Article
Language:zho
Published: Institute of Blood Transfusion of Chinese Academy of Medical Sciences 2025-02-01
Series:Zhongguo shuxue zazhi
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Online Access:https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.02.011&lang=en
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author QING Yun
DAI Huayou
YANG Junhong
XU Qian
WU Siqi
TIAN Yunbo
HUANG Xia
author_facet QING Yun
DAI Huayou
YANG Junhong
XU Qian
WU Siqi
TIAN Yunbo
HUANG Xia
author_sort QING Yun
collection DOAJ
description [Objective] To assess the data characteristics of quality monitoring indicators for red blood cell (RBC) preparations, so as to provide reference for continuous improvement of blood quality. [Methods] The quality inspection data of 6 types of RBC preparations from Chongqing blood center from 2019 to 2023 were summarized. For the same indicators, the numerical range of quality indicators was monitored by comparing different types of preparations with the national standard GB18469. The loss and/or damage to RBCs caused by different preparation process were compared, and the impact of different preparation processes on the quality of RBCs was discussed. [Results] The appearance and sterility test compliance rates of the six types of RBC preparations were both 100%, while the compliance rates of other items were all ≥75%. The compliance rate of hematocrit for suspended RBCs was the lowest at 75%, with a median of 0.52, which was close to the lower limit of GB18469, while the medians of hematocrit for the other types were all at the midline level of GB18469. The Hb content for different types of RBCs was significantly higher than the corresponding requirements of GB18469 (P<0.05). The hemolysis rate at the end of storage for different types of RBCs was significantly lower than the requirements of GB18469 (P<0.05). The 1 U leukoreduction process resulted in a hemoglobin content loss of about 5% and had a significant impact on the hemolysis rate at the end of storage (P<0.05). The washing process resulted in a hemoglobin content loss of <3% and had no significant impact on the hemolysis rate at the end of storage (P>0.05). The concentration process resulted in a hemoglobin content loss of <3% and had a significant impact on the hemolysis rate at the end of storage (P<0.05). [Conclusion] The impact of different processes on RBC preparations is within a controllable range and meets the requirements of GB18469. The quality monitoring data can provide a reference for clinical blood selection, effectiveness evaluation and revision of related standards.
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spelling doaj-art-2e4571e14d9a4104b4eaae3882a04d272025-08-20T03:05:39ZzhoInstitute of Blood Transfusion of Chinese Academy of Medical SciencesZhongguo shuxue zazhi1004-549X2025-02-0138222723210.13303/j.cjbt.issn.1004-549x.2025.02.0111004-549X(2025)2-0227-07Assessment and discussion of quality monitoring data for red blood cell preparationsQING Yun0DAI Huayou1YANG Junhong2XU Qian3WU Siqi4TIAN Yunbo5HUANG Xia6Chongqing Blood Center, Chongqing 400052, ChinaChongqing Blood Center, Chongqing 400052, ChinaChongqing Blood Center, Chongqing 400052, ChinaChongqing Blood Center, Chongqing 400052, ChinaChongqing Blood Center, Chongqing 400052, ChinaChongqing Blood Center, Chongqing 400052, ChinaChongqing Blood Center, Chongqing 400052, China[Objective] To assess the data characteristics of quality monitoring indicators for red blood cell (RBC) preparations, so as to provide reference for continuous improvement of blood quality. [Methods] The quality inspection data of 6 types of RBC preparations from Chongqing blood center from 2019 to 2023 were summarized. For the same indicators, the numerical range of quality indicators was monitored by comparing different types of preparations with the national standard GB18469. The loss and/or damage to RBCs caused by different preparation process were compared, and the impact of different preparation processes on the quality of RBCs was discussed. [Results] The appearance and sterility test compliance rates of the six types of RBC preparations were both 100%, while the compliance rates of other items were all ≥75%. The compliance rate of hematocrit for suspended RBCs was the lowest at 75%, with a median of 0.52, which was close to the lower limit of GB18469, while the medians of hematocrit for the other types were all at the midline level of GB18469. The Hb content for different types of RBCs was significantly higher than the corresponding requirements of GB18469 (P<0.05). The hemolysis rate at the end of storage for different types of RBCs was significantly lower than the requirements of GB18469 (P<0.05). The 1 U leukoreduction process resulted in a hemoglobin content loss of about 5% and had a significant impact on the hemolysis rate at the end of storage (P<0.05). The washing process resulted in a hemoglobin content loss of <3% and had no significant impact on the hemolysis rate at the end of storage (P>0.05). The concentration process resulted in a hemoglobin content loss of <3% and had a significant impact on the hemolysis rate at the end of storage (P<0.05). [Conclusion] The impact of different processes on RBC preparations is within a controllable range and meets the requirements of GB18469. The quality monitoring data can provide a reference for clinical blood selection, effectiveness evaluation and revision of related standards.https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.02.011&lang=enred blood cells (rbcs)blood componentsquality variabilityquality controlgb18469
spellingShingle QING Yun
DAI Huayou
YANG Junhong
XU Qian
WU Siqi
TIAN Yunbo
HUANG Xia
Assessment and discussion of quality monitoring data for red blood cell preparations
Zhongguo shuxue zazhi
red blood cells (rbcs)
blood components
quality variability
quality control
gb18469
title Assessment and discussion of quality monitoring data for red blood cell preparations
title_full Assessment and discussion of quality monitoring data for red blood cell preparations
title_fullStr Assessment and discussion of quality monitoring data for red blood cell preparations
title_full_unstemmed Assessment and discussion of quality monitoring data for red blood cell preparations
title_short Assessment and discussion of quality monitoring data for red blood cell preparations
title_sort assessment and discussion of quality monitoring data for red blood cell preparations
topic red blood cells (rbcs)
blood components
quality variability
quality control
gb18469
url https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.02.011&lang=en
work_keys_str_mv AT qingyun assessmentanddiscussionofqualitymonitoringdataforredbloodcellpreparations
AT daihuayou assessmentanddiscussionofqualitymonitoringdataforredbloodcellpreparations
AT yangjunhong assessmentanddiscussionofqualitymonitoringdataforredbloodcellpreparations
AT xuqian assessmentanddiscussionofqualitymonitoringdataforredbloodcellpreparations
AT wusiqi assessmentanddiscussionofqualitymonitoringdataforredbloodcellpreparations
AT tianyunbo assessmentanddiscussionofqualitymonitoringdataforredbloodcellpreparations
AT huangxia assessmentanddiscussionofqualitymonitoringdataforredbloodcellpreparations