Abstract: Objective By analyzing the blood use of the deceased patient during his last hospitalization, we explored the lifetime blood consumption probability, and advocated active healthy and age-appropriate blood donation. Methods According to the principles of the International Classification of Diseases, blood donation age and blood composition classification, the blood volume of 8 053 hospitalized patients who died from 2011 to 2020 in this hospital was statistically analyzed. Results From 2011 to 2020, the average transfusion rate of inpatients in the hospital was 13.13%, and the average transfusion rate of patients who died was 47.42%.The top three diseases with the highest transfusion rate of deceased patients were pregnancy, childbirth and puerperium, blood hematopoietic immune diseases, and digestive system diseases, with the transfusion rate of 90%, 89.74% and 79.52%, respectively. The rate of blood transfusion decreased gradually in patients under 18, 18~60 and over 60 years old, which was 64.13%, 56.00% and 44.80 % respectively (P<0.05) .The average red blood cell transfusion volume per deceased patient was 2.05 U, plasma 4.19 U and platelet 2.8 U, respectively. Conclusion The higher rate of blood transfusion before death in hospitalized patients suggests that we should actively participate in unpaid blood donation when we are healthy at the right age, so as to improve the consciousness of blood donation and promote the development of unpaid blood donation in China.

Key words: Death in hospital, Transfusion rate, Unpaid blood donation