{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T01:46:06Z","timestamp":1784684766876,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vox Sanguinis"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Blood unavailability contributes to morbidity and mortality in low\u2010 and middle\u2010income countries (LMICs). Intraoperative autotransfusion (IAT), a technique to obtain and re\u2010transfuse blood lost during surgery, presents a safe alternative during shortages. Despite increased device development, limited research has outlined the need and potential impact of IAT in LMICs. Our study aims to quantify and characterize IAT\u2010eligible surgical cases in Turkana County, Kenya.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Researchers followed surgical cases with pooled, uncontaminated blood loss over 500\u2009mL (IAT\u2010eligible) at a regional referral hospital across 2\u2009weeks in January 2025. Data on blood loss, transfusion and clinical status were collected via direct observation and chart review. A matched retrospective review of hospital and county referral records was completed from January to December 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine of 90 surgical cases in the 2\u2010week prospective period were IAT\u2010eligible. Blood loss ranged from 550 to 3500\u2009mL, and diagnoses included splenic injury, ruptured uterus, perineal tears, caesarean section and femur fracture. Retrospective review identified 53 of 1779 surgical cases as IAT\u2010eligible: 24 ruptured ectopic pregnancies, 10 splenic injuries, 9 uterine ruptures, 3 chest injuries and 7 blunt abdominal traumas. Among 321 county\u2010referred surgical cases, 42 (13%) were IAT\u2010eligible.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>At a rural Kenyan hospital, IAT\u2010eligible surgeries compromise 3%\u201310% of surgical cases and 13% of county\u2010level referrals. Ruptured ectopic pregnancy and splenic injury were the most common IAT\u2010eligible conditions and potential high\u2010yield targets for implementation. IAT may present a useful adjunct to improve blood availability in hospitals facing shortages.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/vox.70308","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T07:17:50Z","timestamp":1780989470000},"source":"Crossref","is-referenced-by-count":1,"title":["Exploring intraoperative autotransfusion in a blood desert: A single\u2010centre study in Turkana County, Kenya"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3156-5568","authenticated-orcid":false,"given":"Isita","family":"Tripathi","sequence":"first","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naeema","family":"Hopkins\u2010Kotb","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Mass General Brigham  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikathan","family":"Kumar","sequence":"additional","affiliation":[{"name":"UCSF East Bay General Surgery  Oakland California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Carlos","family":"Puyana","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Pittsburgh  Pittsburgh Pennsylvania USA"},{"name":"Institute of Global Surgery, Royal College of Surgeons  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5090-0328","authenticated-orcid":false,"given":"Linda S.","family":"Barnes","sequence":"additional","affiliation":[{"name":"Linda S Barnes Consulting  Seattle Washington USA"},{"name":"Blood D.E.S.E.R.T. Coalition  Nairobi Nairobi City Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asma Ali","family":"Awadh","sequence":"additional","affiliation":[{"name":"Blood D.E.S.E.R.T. Coalition  Nairobi Nairobi City Kenya"},{"name":"Office of Health for Langata and Kibera Sub\u2010Counties  Nairobi Nairobi City Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy","family":"Makanga","sequence":"additional","affiliation":[{"name":"Strathmore University Business School  Nairobi Nairobi City Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdirahman Musa","family":"Jibrail","sequence":"additional","affiliation":[{"name":"Turkana County Government Department of Health  Lodwar Turkana Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tecla","family":"Chelagat","sequence":"additional","affiliation":[{"name":"Strathmore University Business School  Nairobi Nairobi City Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline Wesonga","family":"Wangamati","sequence":"additional","affiliation":[{"name":"Blood D.E.S.E.R.T. 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