The NTD links individual prehospital and hospital datasets with clinical registry data to show how, why and when blood products are used, and the clinical outcomes of transfused patients.

The NTD was formed through the incorporation of the established Australian and New Zealand Massive Transfusion Registry (ANZ-MTR) and a pilot Transfusion Database (TD) project. The ANZ-MTR has a unique focus on massive transfusion (MT) and contains over 10,000 cases from 41 hospitals across Australia and New Zealand. The TD was a trial extension of the registry that collated data on ALL (not just massive) transfusions on >8000 patients from pilot hospitals. The NTD will integrate and expand these databases to provide new data on transfusion practice, using novel approaches to collect data on clinical outcomes. The NTD will link datasets of blood utilisation including prehospital, clinical and registry data, with the aim of closing the vital haemovigilance loop.

All patients (≥18 years old) transfused any type of blood product, all blood donors (≥18 years old), at participating health services or organisations.
Patient outcomes include in-hospital mortality and status at patient discharge. Long term outcomes are available through data linkages with death and other registries.

Not specified.

The NTD aims to collect information about where, when, and how blood products are used across all clinical settings. This will provide Australia’s first integrated national database to record blood usage with the ability to link with clinical outcomes. The dataset will be an invaluable resource towards a comprehensive understanding of how and why blood products are used, numbers and characteristics of patients transfused in health services, the clinical outcomes after transfusion, and provide support to policy development and research.

National

Monash University is the data custodian and the NTD adheres to Monash University's Privacy Compliance Framework. Data are governed under the Commonwealth Privacy Act (1988), the Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001 (Vic) and any code of practice or guidelines made under these Acts, as well as other relevant privacy laws and principles set out by the Commonwealth, States, and Territories. The NTD has ethics approval to operate under a waiver of consent.