Table 4.
Activity wise additional costs
| Author/year | Place of study | Definition of unit | Cost/unit | Cost/unit in INR | Costing parameters included in the study | Remarks |
|---|---|---|---|---|---|---|
| Amin et al. [9] | Canada | Allogeneic RBC | US$ 152.17 in 1994 increased to $264.81 in 2002 | 4784(1994) to 12,872 (2002) | Cost of blood collection, production, distribution, delivery, transfusion reaction management, and opportunity cost of donor’s time were included in the study | Societal cost |
| Glennard et al. [3] | Sweden | Autologous RBC | SEK 2697 | 12,390 | Cost of donor’s production time, transportation, blood collection, preparation, and transfusion were included in the study |
Societal cost Allogenic cost high due to transfusion reaction, administration cost high in autologous |
| Allogenic RBC | SEK 3165 | 14,540 | ||||
| Intraoperative erythrocyte salvage | SEK 2567 | 11,792 | ||||
| Lara et al. [8] | Malawi, Africa | One unit blood (not specified) | US$ 16.32 | 720 | Laboratory cost of all blood tests included to produce a unit of safe blood by using family replacement donor | Laboratory cost |
| Toner et al. [11] | US | RBC | $US 210.74 ± 37.9 | 9835 ± 1769 | Survey of hospital based blood banks done to determine the average price paid by hospitals to suppliers for a unit of red blood cell and other components as well as cost for blood related processes performed | Centralised collection and distribution |
| Fresh frozen plasma | $US 60.70 ± 20 | 2833 ± 933 | ||||
| Apheresis platelet | $US 553.90 ± 120 | 25,850 ± 933 | ||||
| Fragoulakis et al. [10] | Greece | One unit blood (not Specified) | Direct cost €131.49 | 9523 | Cost of resources expended for collection, processing, laboratory testing, and storage were included in the study | Societal cost |
| Indirect cost €34 | 2462 | |||||
| Stokes [12] | United Kingdom | RBC | $71(£49) | 4697 | Transfusion laboratory and nursing service inputs were included in the study | Economic cost |
| FFP | $55 (£38) | 3639 | ||||
| PLATELETS | $84 (£58) | 5557 | ||||
| NBTC Guidelines [13] | India | Whole Blood | – |
1050+ 1450* |
Processing charge of blood and blood components | NBTC costing guidelines |
| Packed Red Cells | – |
1050+ 1450* |
||||
| Fresh Frozen Plasma | – |
300+ 400* |
||||
| Platelet Concentrate | – |
300+ 400* |
||||
| Cryoprecipitate | – |
200+ 250* |
||||
| Additional charge on NAT | – | 1200 | ||||
| Present study | India | Assumption that all blood components carry equal cost | – | 1829 | Activity wise unit cost of blood was calculated following WHO guidelines (with NAT) | Economic cost |
* Goverment blood banks
+Non-government blood banks