TY - JOUR
T1 - Haematological patients' perception of home transfusions
T2 - Effect of the COVID-19 pandemic
AU - Gutwein, Odit
AU - Herzog Tzarfati, Katrin
AU - Apel, Arie
AU - Rahimi-Levene, Naomi
AU - Michaeli, Hani
AU - Barki-Harrington, Liza
AU - Koren-Michowitz, Maya
N1 - Publisher Copyright: © 2022 International Society of Blood Transfusion.
PY - 2022/10
Y1 - 2022/10
N2 - Background and Objectives: The COVID-19 pandemic has led to a growing interest in hospital-at-home programmes, including home transfusion services. We studied whether the pandemic had influenced patients' perception of home transfusions. Materials and Methods: We conducted a survey among haematology patients who receive transfusions in the hospital day care facility. Patients were asked about the burden of day care transfusions and whether they would prefer receiving home transfusions. The survey was conducted during the COVID-19 pandemic, and the results were compared with a survey performed before the pandemic (baseline). Results: Sixty patients were included in the COVID-19 cohort and 31 patients in the baseline cohort. There was a non-significant decrease in the proportion of patients willing to receive home transfusions during the pandemic compared with baseline (35% vs. 47%, respectively, p = 0.28). More patients in the COVID-19 cohort were afraid to receive home transfusions (60% compared with 48% at baseline, p = 0.29), and fewer patients believed that hospital transfusion impaired their quality of life (19% compared with 36% at baseline, p = 0.09). These unexpected results may be partly attributed to the shorter time needed to arrive at the hospital during the pandemic and a greater fear of having transfusion-related adverse effects at home. Conclusions: Our results show that the pandemic did not increase the willingness of patients to receive home transfusions, with a non-significant drift towards refusal of home transfusions. Patients' opinions should be taken into consideration when planning for future home transfusion services, by creating a comprehensive approach to patients' needs.
AB - Background and Objectives: The COVID-19 pandemic has led to a growing interest in hospital-at-home programmes, including home transfusion services. We studied whether the pandemic had influenced patients' perception of home transfusions. Materials and Methods: We conducted a survey among haematology patients who receive transfusions in the hospital day care facility. Patients were asked about the burden of day care transfusions and whether they would prefer receiving home transfusions. The survey was conducted during the COVID-19 pandemic, and the results were compared with a survey performed before the pandemic (baseline). Results: Sixty patients were included in the COVID-19 cohort and 31 patients in the baseline cohort. There was a non-significant decrease in the proportion of patients willing to receive home transfusions during the pandemic compared with baseline (35% vs. 47%, respectively, p = 0.28). More patients in the COVID-19 cohort were afraid to receive home transfusions (60% compared with 48% at baseline, p = 0.29), and fewer patients believed that hospital transfusion impaired their quality of life (19% compared with 36% at baseline, p = 0.09). These unexpected results may be partly attributed to the shorter time needed to arrive at the hospital during the pandemic and a greater fear of having transfusion-related adverse effects at home. Conclusions: Our results show that the pandemic did not increase the willingness of patients to receive home transfusions, with a non-significant drift towards refusal of home transfusions. Patients' opinions should be taken into consideration when planning for future home transfusion services, by creating a comprehensive approach to patients' needs.
KW - Blood Transfusion
KW - COVID-19
KW - COVID-19/epidemiology
KW - Humans
KW - Pandemics
KW - Perception
KW - Quality of Life
KW - home transfusion
KW - hospital at home
UR - http://www.scopus.com/inward/record.url?scp=85137997666&partnerID=8YFLogxK
U2 - https://doi.org/10.1111/vox.13343
DO - https://doi.org/10.1111/vox.13343
M3 - مقالة
C2 - 36102110
SN - 0042-9007
VL - 117
SP - 1195
EP - 1201
JO - Vox Sanguinis
JF - Vox Sanguinis
IS - 10
ER -