Dissertation
Impact and implications of the ageing population on anaemia management, patient blood management and unplanned blood use
University of the Sunshine Coast, Queensland
Doctor of Philosophy, University of the Sunshine Coast, Queensland
2022
DOI:
https://doi.org/10.25907/00150
Abstract
Population ageing presents a challenge across many domains and has been described as being at a crossroads with “other mega-trends of the twenty-first century” such as climate change. Pathophysiological changes that occur as part of the ageing process will increase the vulnerability of a greater proportion of the population to the impacts of climate change, including humanitarian crises, severe weather events and heat-related illnesses. Age-related changes also increase the susceptibility of older adults to negative consequences in a range of clinical scenarios.
In the fields of transfusion medicine and transfusion science, the majority of blood products are transfused to adults aged 65 years above (older adults). This cohort is predicted to grow in Australia from 3.2 million in 2012 to 5.8 million by 2031 and 11.1 million by 2061. These numbers represent an expansion from 14% to 19% then 25% of the population across this timeframe. Despite the knowledge that older adults are the greatest consumers of blood products they are under-represented in research studies related to transfusion. This contrasts with paediatric patients who consume a comparatively small proportion of the blood supply but are well supported in Australia with national patient blood management guidelines that recognise their special physiological needs. Management of older adults is generally informed by a set of evidence-based guidelines that span the entire adult lifespan, where evidence comes predominantly from studies that recruited age cohorts spanning several decades, with older adult representation diluted by the much greater proportion of younger adults. Therefore the guidance is not specific for older adults and does not take account of pathophysiological changes that accrue with older age.
Details
- Title
- Impact and implications of the ageing population on anaemia management, patient blood management and unplanned blood use
- Authors
- Geoff Simon - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - Legacy
- Contributors
- Lin Fung (Supervisor) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - LegacyAlison Craswell (Supervisor) - University of the Sunshine Coast, Queensland, School of Health - Nursing
- Awarding institution
- University of the Sunshine Coast, Queensland
- Degree awarded
- Doctor of Philosophy
- Publisher
- University of the Sunshine Coast, Queensland
- DOI
- 10.25907/00150
- Organisation Unit
- School of Health - Biomedicine; School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99649579202621
- Output Type
- Dissertation
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