Sarah James, Jenny Ziviani, Roslyn Boyd
A systematic review of activities of daily living measures for children and adolescents with cerebral palsy
Developmental medicine and child neurology
covid19 pandemic drastic effect global community blood products precious resources especially african context especially compounded covid19 pandemic concurrent covid19 level 5 lockdown south africa 26 march 30 april 2020 decrease trauma admissions state hospitals noted aim data collection assess whether lowered blood product issuance seen covid19 pandemic lockdown areas tygerberg hospital trauma patients identified namely a1w intensive care unit surgical icu trauma front room trauma admissions trauma resuscitation unit trauma resus area j7trauma ward data blood product issuance red blood cells fresh frozen plasma 4 areas provided western cape blood service period 26 march30 april 2018 2019 2020 included stage 5 covid19 south african lockdown well easter three years traditionally associated raised trauma admissions data quantitative 201 products issued 2018 versus 103 period 2020 4 trauma areas tygerberg hospital surgical icu received products 3 years 183 product issuances expected significant decrease blood product red blood cell fresh frozen plasma issuance 2020 period paralleled lowered trauma numbers represented significant cost saving r150 000 despite increased yearly costs blood products period data collection consider reasoning blood transfusions clinical appropriateness thereof author acknowledges wide variability transfusion thresholds protocols within various centres around world including tygerberg seeking prove commentary appropriateness thereof research