HOME BLOOD THERAPY, AN ALTERNATIVE TO DAY CLINIC

In response to the needs of the Home Medical Services a project was se t up in the Hemobiology Transfusion Service of Beaujon Hospital. The o bjective of this project was to avoid the difficult transfer of patien ts who were receiving for the most part palliative treatment. This req uired strict organization between consultants, haemobiologist physicia ns and healthcare personnel. The exclusion criteria have been respecte d (geographical distance, state of the non-compensated clinic, absence of family/patient cooperation). During the last 4 years of activity, 1,662 transfusions have been carried out on 757 patients, of which 80% had hematological affections, 10% solid tumours and 10% AIDS affectio ns. 5,548 blood components have been transfused (2,104 red cell concen trates, 3,152 pooled platelet concentrates and 292 apheresis platelet concentrates). Thirty-one minor incidents were observed representing a prevalence of 0.56%. The poor codification of cases has slowed down t he development of this project. The centralization of requests with co ordination by the haemobiologist physicians within the Paris region sh ould allow a guaranteed response to the numerous requests.