title: Performing bone marrow harvest on an outpatient basis: a single center UK experience.
abstract: Bone marrow harvest (BMH) has historically been performed on an inpatient basis with a minimum of overnight inpatient stays. We commenced a program of outpatient (day case) BMH in 1999, performing 54 day case BMHs over a 3-year period. Of the total of 54 cases, 51 were known patients with hematological malignancies and 3 were healthy normal donors. Seven were excluded from day case BMH. Five (10.6%) of 47 patients/donors who were accepted for day case BMH required overnight admission. Two developed hypotension requiring intravenous fluid resuscitation. Two had excessive vomiting and 1 a difficult and prolonged harvest and was admitted at the request of the anesthetist. None of the patients admitted required more than overnight admission and 42 (89.4%) were discharged the same evening. In conclusion, day case BMH is safe, cost-effective, and reduces the pressure on inpatient beds.
authors.affiliation: Department of Haematology, Birmingham Heartlands Hospital, Birmingham, UK.
authors.forename: Aamer
authors.initials: A
authors.lastname: Aleem
authors.forename: Richard
authors.initials: R
authors.lastname: Lovell
authors.forename: Kathy
authors.initials: K
authors.lastname: Holder
authors.forename: Suparno
authors.initials: S
authors.lastname: Chakarbarti
authors.forename: J
authors.initials: J
authors.lastname: James
authors.forename: Donald W
authors.initials: DW
authors.lastname: Milligan
mesh_terms: D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care; D001853:Bone Marrow / Q000601:surgery*; D016026:Bone Marrow Transplantation / Q000009:adverse effects / Q000379:methods*; D005260:Female; D019337:Hematologic Neoplasms / Q000628:therapy; D006760:Hospitalization; D006801:Humans; D007022:Hypotension / Q000209:etiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014019:Tissue Donors; D006113:United Kingdom; D014839:Vomiting / Q000209:etiology