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A new study published in the New England Journal of Medicine
reveals that blood stored in hospitals for more than two weeks can be dangerous
for heart surgery patients. The patients who receive blood older than two weeks
are more likely to die or suffer health problems than the patients who receive
fresher blood.
"We report that the relative risk of postoperative
death is increased by 30 percent in patients given blood that has been stored
for more than two weeks," the researchers wrote in the New England Journal
of Medicine.
The study suggests that blood alters in time and that rules
allowing it to be stored for six weeks might actually endanger patients’ life.
The Food and Drug Administration allows hospitals to store
the blood for six weeks, so they can maintain supplies of very rare blood.
The study's lead author, Dr. Colleen Gorman Koch of the
Cleveland Clinic, is aware that FDA’s rule cannot be easily changed, but she
recommends blood centers to use the freshest blood first and to use techniques to
reduce the need for a blood transfusion.
The research involved 6,002 patients who received blood
transfusions following heart surgery at the Cleveland Clinic Foundation. Nearly
half of the patients received blood that was 14 days old or fresher, while the
other half received blood that had been stored for more than two weeks.
The results showed that the one-year survival rate was 89
percent for patients who received older blood and almost 93 percent for
patients who received fresh blood.
Complication rates were also higher in the older blood
group, with patients suffering kidney failure, blood infections or multiple
organ failure.
Doctors hope that the six-week rule concerning blood storage
would not be changed and suggest that the older blood could be used for health
problems less complex than heart surgeries, where complications are less likely
to appear.
Currently, about 5 million Americans receive blood
transfusions each year, as the National Institutes of Health report.
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