This retrospective study aimed to demonstrate the impact of hometransfusions on the number of patients avoiding admission to the Emergency Room orhospitalization.

The following resources were utilized to achieve theproposed objectives: 1. Blood Bank Computer System (SISSAN). 2. Home Care Area Form (filled out by the physician). 3. Daily Activity FormDuring each visit to the patient, the physician completed the form with the patient's data, theactivities performed at home, vital parameters, blood products used, and the ongoingdisease. These data were then entered into the computer system at the Health Care Centre. We chose a ten-year period to evaluate the activity of the Home Care Area and analyzed thefollowing items: 1. The impact on the number of patients avoiding emergency room visits or hospitaladmissions for blood transfusions. 2. Blood components used.

From January 2014 to January 2024:1. 3,171 medical consultations were performed.2. 3,659 transfusion procedures were carried out. 3. Blood components transfused included: 2,881 Desplasmatized Blood units, 393Platelet Concentrate units, and 131 Apheresis Platelets units. 4. Factor VIII was the most commonly used plasma derivative.

During the chosen period, we observed a significant increase in hometransfusions over the last five years, with a peak during the pandemic years, 2020-2021.During this period, transfusions in the Emergency Room accounted for 22% of the total, 44%in hospital wards, and 19.8% in polyclinics. Home Care Area transfusions represented 14% of the total. Thus, home transfusions significantly reduced the need for Emergency Room orhospital admissions for blood components. Additionally, this approach supports variousareas such as Palliative Care, Geriatrics, Oncology, and Hematology, maintaining patientcomfort and reducing hospitalization costs.

From our analysis, we conclude that: Home transfusions representedabout 14% of the total transfusions performed during this period, effectively reducing theneed for institutional visits to receive blood components. These transfusions increased in thelast five years, particularly during the pandemic, demonstrating institutional support and thefeasibility of home therapy during critical moments. The most commonly used BloodComponent was Desplasmatized Blood, and the most commonly used Plasma Derivativewas Factor VIII.