{"id":2987,"date":"2015-03-31T15:38:34","date_gmt":"2015-03-31T12:38:34","guid":{"rendered":"https:\/\/verekeskus.ee\/?page_id=2987"},"modified":"2018-03-02T13:13:43","modified_gmt":"2018-03-02T11:13:43","slug":"blood-transfusion-service-in-estonia","status":"publish","type":"page","link":"https:\/\/verekeskus.ee\/en\/about-us\/blood-transfusion-service-in-estonia\/","title":{"rendered":"Blood Transfusion Service in Estonia"},"content":{"rendered":"

There are four blood collection and processing facilities in Estonia, belonging to the hospitals in four directions \u2013 North, South, West and East. Blood centres in Tallinn, Tartu, P\u00e4rnu and Kohtla-J\u00e4rve are independent from each other, but working under the umbrella of the common legislation which regulates collection, testing, processing and quality issues.<\/p>\n

Altogether 16 doctors, 48 nurses, 24 lab technicians and 53 persons with other qualifications are able to serve 30 000 donors per year who are giving 55 000 donations and over 130 000 different blood products have been produced.<\/p>\n
Blood center<\/strong><\/td>\nDonations per year 2017<\/strong><\/td>\nDoctors<\/strong><\/td>\nSpecialists with higher education<\/strong><\/td>\nNurses<\/strong><\/td>\nLab technicians<\/strong><\/td>\nOthers<\/strong><\/td>\nAll<\/strong>\n

together<\/strong><\/p><\/td>\n<\/tr>

Tallinn<\/td>\n30 035<\/td>\n10<\/td>\n7<\/td>\n34<\/td>\n14<\/td>\n33<\/td>\n98<\/td>\n<\/tr>
Tartu<\/td>\n16 160<\/td>\n6<\/td>\n2<\/td>\n8<\/td>\n10<\/td>\n5<\/td>\n33<\/td>\n<\/tr>
P\u00e4rnu<\/td>\n5 404<\/td>\n1<\/td>\n2<\/td>\n6<\/td>\n0<\/td>\n5<\/td>\n14<\/td>\n<\/tr>
K-J\u00e4rve<\/td>\n3 458<\/td>\n2<\/td>\n1<\/td>\n6<\/td>\n0<\/td>\n0<\/td>\n9<\/td>\n<\/tr>
All together<\/td>\n55 057<\/strong><\/td>\n19<\/strong><\/td>\n12<\/strong><\/td>\n54<\/strong><\/td>\n24<\/strong><\/td>\n43<\/strong><\/td>\n152<\/strong><\/td>\n<\/tr><\/tbody><\/table>

\u00a0<\/p>\n

Utilization of blood products in Estonia \u2013 5 years\u2019 trend<\/strong><\/h4>\n
<\/td>\n2012<\/td>\n2013<\/td>\n2014<\/td>\n2015<\/td>\n2016<\/td>\n2017<\/td>\n<\/tr>
Red cells<\/td>\n55 389<\/td>\n56 012<\/td>\n56 465<\/td>\n53 541<\/td>\n52 864<\/td>\n47 631<\/td>\n<\/tr>
Plasma<\/td>\n25 934<\/td>\n24 387<\/td>\n22 771<\/td>\n19 324<\/td>\n17 523<\/td>\n13 706<\/td>\n<\/tr>
Platelets<\/td>\n6 944<\/td>\n7 276<\/td>\n6 849<\/td>\n7 236<\/td>\n7 660<\/td>\n7 339<\/td>\n<\/tr><\/tbody><\/table>

\u00a0<\/p>\n

North Estonia Medical Center\u2019s Blood Center<\/strong><\/h3>\n

North Estonia Medical Centre\u2019s Blood Centre (NEMC BC) is the biggest in Estonia, more than half of all donations are made here. It is merged with the biggest tertiary care hospital in Estonia and 60% of its production is used in the North Estonia Medical Center. \u00a0Above it all together 14 hospitals are served in the region.<\/p>\n

NEMC BC has two stationary blood collecting locations in Tallinn and mobile team session every working day \u2013 about 240 sessions annually.<\/p>\n

There are 28 different kind of products on the list, the main categories in a year 2014 were:<\/p>\n
Product<\/strong><\/td>\nUnits produced in 2017<\/strong><\/td>\n<\/tr>
Red cells<\/td>\n26 764<\/td>\n<\/tr>
FFP\n

Incl plasma for fractionation<\/p><\/td>\n

\n

31 328<\/p>\n

26 327<\/p>\n<\/td>\n<\/tr>

Cryoprecipitate<\/td>\n3 890<\/td>\n<\/tr>
BC platelets<\/td>\n3 568<\/td>\n<\/tr>
Apheresis platelets<\/td>\n1 550<\/td>\n<\/tr><\/tbody><\/table>

All this production is possible because of a loyal and sufficient donor population:<\/p>\n
\u00a0Donors<\/strong><\/td>\n2017<\/strong><\/td>\n<\/tr>
Whole blood donors<\/strong><\/td>\n16 986<\/td>\n<\/tr>
Plasma apheresis donors<\/strong><\/td>\n425<\/td>\n<\/tr>
Multicomponent apheresis donors<\/strong><\/td>\n147<\/td>\n<\/tr>
All together<\/strong><\/td>\n17 558<\/td>\n<\/tr><\/tbody><\/table>

NEMC BC donations in 2017:<\/p>\n
Donations<\/strong><\/td>\nNumber in 2017<\/strong><\/td>\n<\/tr>
Whole blood<\/td>\n26 848<\/td>\n<\/tr>
\u2022\u00a0\u00a0\u00a0\u00a0\u00a0 Main house<\/td>\n6 300<\/td>\n<\/tr>
\u2022\u00a0\u00a0\u00a0\u00a0\u00a0 DoFo-s<\/td>\n7 429<\/td>\n<\/tr>
\u2022\u00a0\u00a0\u00a0\u00a0\u00a0 Mobile team<\/td>\n12 874<\/td>\n<\/tr>
Plasma apheresis<\/td>\n2 382<\/td>\n<\/tr>
Multicomponent apheresis<\/td>\n768<\/td>\n<\/tr>
All together<\/td>\n30 035<\/td>\n<\/tr><\/tbody><\/table>

The number of donations is still growing, the number of donors is not \u2013 that means more donations per donor and more loyal donors.<\/p>\n

Donors and donations 2006-2017<\/strong><\/h4>\n

\"joonis1\"<\/p>\n

The presentage of first time donors\u00a0<\/strong><\/h4>\n

\"joonis2\"<\/p>\n

\u00a0<\/p>\n

<\/h4>\n

Testing<\/strong><\/h4>\n
  • Mandatory tests to donor blood:<\/li>\n
  • HBV \u2013 HBsAg, DNA<\/li>\n
  • HCV \u2013 aHCV, RNA<\/li>\n
  • HIV \u2013 aHIV \u00bd, HIV p24 Ag, RNA<\/li>\n
  • Syphilis \u2013 anti-TP<\/li>\n
  • ABO, Rh(D)<\/li>\n
  • K<\/li>\n
  • Irregular antibodies<\/li>\n<\/ul>

    Facultative testing to donor blood:<\/strong><\/h4>\n
    • Phenotyping \u2013 Rh system, clinically important antigenes<\/li>\n
    • Genotyping \u2013 weak D, clinically important antigenes<\/li>\n<\/ul>

      Testing of blood components:<\/strong><\/h4>\n
      • Platelet concentrates \u2013 100% BactAlert testing<\/li>\n
      • Hb, Hct<\/li>\n
      • Residual leucocytes<\/li>\n
      • Haemolysis<\/li>\n
      • etc<\/li>\n<\/ul>

        Quality system<\/strong><\/h4>\n

        GMP and ISO standards are implemented, all processes and procedures are covered by SOP-s.<\/p>\n

        NEMC BC has local authorities\u2019 licence for blood center activities and additionally accreditation of laboratories. Regular proficiency testing is performed and self assessment by quality audits is a part of everyday life.<\/p>\n

        About 20 key performance indicators are monitored and assessed.<\/p>\n

        Information system<\/strong><\/h4>\n

        Estonia\u2019s own system is in use since 1996. It includes ISBT-128 coding, donor registry, product registry, donor management together with e-donor application, automatic test result transfer, whole blood collection, apheresis, separation and ultrafreezing data.<\/p>\n

        International cooperation<\/strong><\/h4>\n

        NEMC BC is a member of European Blood Alliance since 2006<\/p>\n

        \u00a0<\/p>","protected":false},"excerpt":{"rendered":"

        There are four blood collection and processing facilities in Estonia, belonging to the hospitals in four directions \u2013 North, South, West and East. Blood centres in Tallinn, Tartu, P\u00e4rnu and Kohtla-J\u00e4rve are independent from each other, but working under the umbrella of the common legislation which regulates collection, testing, processing and quality issues. Altogether 16 […]<\/p>\n","protected":false},"author":1,"featured_media":2984,"parent":2551,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/verekeskus.ee\/en\/wp-json\/wp\/v2\/pages\/2987"}],"collection":[{"href":"https:\/\/verekeskus.ee\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/verekeskus.ee\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/verekeskus.ee\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/verekeskus.ee\/en\/wp-json\/wp\/v2\/comments?post=2987"}],"version-history":[{"count":23,"href":"https:\/\/verekeskus.ee\/en\/wp-json\/wp\/v2\/pages\/2987\/revisions"}],"predecessor-version":[{"id":9797,"href":"https:\/\/verekeskus.ee\/en\/wp-json\/wp\/v2\/pages\/2987\/revisions\/9797"}],"up":[{"embeddable":true,"href":"https:\/\/verekeskus.ee\/en\/wp-json\/wp\/v2\/pages\/2551"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/verekeskus.ee\/en\/wp-json\/wp\/v2\/media\/2984"}],"wp:attachment":[{"href":"https:\/\/verekeskus.ee\/en\/wp-json\/wp\/v2\/media?parent=2987"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}