While there are many advantages of transfusing a patient at a health care facility, sometimes there may be benefits in transfusing a patient at home. The success of such a program depends on selecting appropriate patients for this service.


Patients who may be candidates for home blood transfusion:

(1) significant difficulty in coming to the health care facility

(2) palliative care for cancer or other condition

(3) hemoglobinopathy requiring chronic tranfusion therapy

(4) bone marrow hypoplasia or aplasia

(5) AIDS

(6) anemia of chronic disease

(7) chronic low-grade gastrointestinal blood loss

(8) refractory anemia, myelodysplasia, or myeloproliferative disorder

(9) stable pediatric patient with chronic debilitating condition


Patients who may not be good candidates for home blood transfusion:

(1) history of previous hemolytic transfusion reaction

(2) presence of an autoimmune hemolytic anemia or hemolyzing cold agglutinin

(3) acute blood loss

(4) unstable cardiopulmonary status


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