Results 1 to 2 of 2

Thread: Too many blood transfusions? New standards urged

  1. #1
    Managing Editor Jan B. Wade's Avatar
    Join Date
    Apr 1996
    Location
    Bellingham, Washington, United States
    Posts
    1,591

    Too many blood transfusions? New standards urged

    blood_D_20091110124716.jpg

    Too many blood transfusions? New standards urged - Forbes.com



    Excerpt -
    WASHINGTON -- Check into the hospital and you may get a blood transfusion you didn't really need.
    There's a lot of variation around the country in how quick doctors are to order up a few pints - not in cases of trauma or hemorrhage where infusing blood fast can be life-saving, but for a range of other reasons.


    Read Here -

    Too many blood transfusions? New standards urged - Forbes.com
    Last edited by Jan B. Wade; 07-19-2011 at 10:11 PM.
    Mr. Jan B. Wade
    Admin
    Email

    Click here for the Best Questions and Answers regarding Transfusion Alternatives and Patient Blood Management.




  2. New Feature! NoBlood Answers!

    • ASK questions regarding Transfusion Alternatives and Patient Blood Management.
    • SHARE your facts, opinions and personal experience.
    • DISCOVER the best answers chosen by Healthcare Professionals and the Public.
    • RANK the best answers.

    Click here to see the Best Answers to Top Questions.

  3. #2
    Physicians Hatice Simsek MD's Avatar
    Join Date
    Oct 2008
    Location
    Turkey
    Posts
    60
    New Study Reveals Wide Variation in Blood Transfusion Practices During Surgery

    Ann Surg.
    2012 Jul 13. [
    Variation of Blood Transfusion in Patients Undergoing Major Noncardiac Surgery.

    Qian F, Osler TM, Eaton MP, Dick AW, Hohmann SF, Lustik SJ, Diachun CA, Pasternak R, Wissler RN, Glance LG.
    Source

    *Department of Anesthesiology, University of Rochester School of Medicine, Rochester, NY †Department of Surgery, University of Vermont College of Medicine, Burlington, VT ‡RAND, RAND Health, Boston, MA §Comparative Data & Information Research, University HealthSystem Consortium. and Department of Health Systems Management, Rush University, Chicago, IL.

    Abstract

    OBJECTIVE:

    To examine the hospital variability in use of red blood cells (RBCs), fresh-frozen plasma (FFP), and platelet transfusions in patients undergoing major noncardiac surgery.
    BACKGROUND:

    Blood transfusion is commonly used in surgical procedures in the United States. Little is known about the hospital variability in perioperative transfusion rates for noncardiac surgery.
    METHODS:

    We used the University HealthSystem Consortium database (2006-2010) to examine hospital variability in use of allogeneic RBC, FFP, and platelet transfusions in patients undergoing major noncardiac surgery. We used regression-based techniques to quantify the variability in hospitaltransfusion practices and to study the association between hospital characteristics and the likelihood of transfusion.
    RESULTS:

    After adjusting for patient risk factors, hospital transfusion rates varied widely for patients undergoing total hip replacement (THR), colectomy, and pancreaticoduodenectomy. Compared with patients undergoing THR in average-transfusion hospitals, patients treated in high-transfusion hospitals have a greater than twofold higher odds of being transfused with RBCs [adjusted odds ratio (AOR) = 2.41; 95% confidence interval (CI), 1.89-3.09], FFP (AOR = 2.81; 95% CI, 2.02-3.91), and platelets (AOR = 2.52; 95% CI, 1.95-3.25), whereas patients in low-transfusionhospitals have an approximately 50% lower odds of receiving RBCs (AOR = 0.45; 95% CI, 0.35-0.57), FFP (AOR = 0.37; 95% CI, 0.27-0.51), and platelets (AOR = 0.42; 95% CI, 0.29-0.62). Similar results were obtained for colectomy and pancreaticoduodenectomy.
    CONCLUSIONS:

    There was dramatic hospital variability in perioperative transfusion rates among patients undergoing major noncardiac surgery at academic medical centers. In light of the potential complications of transfusion therapy, reducing this variability in hospital transfusion practices may result in improved surgical outcomes.
    Variation of Blood Transfusion in Patients Undergoi... [Ann Surg. 2012] - PubMed - NCBI

Similar Threads

  1. New standards urged on blood transfusions
    By Jan B. Wade in forum News and Hot Topics such as Hepatitis C, SARS and AIDS
    Replies: 0
    Last Post: 07-16-2011, 09:59 AM
  2. Too many blood transfusions? New standards urged
    By lekozza in forum News and Hot Topics such as Hepatitis C, SARS and AIDS
    Replies: 0
    Last Post: 06-28-2011, 07:46 AM
  3. Court rulings urged as coma death followed blood refusal
    By lekozza in forum News and Hot Topics such as Hepatitis C, SARS and AIDS
    Replies: 1
    Last Post: 12-19-2009, 06:59 PM
  4. Top court urged to strike down law that forced blood transfusion for teen
    By Jan B. Wade in forum News and Hot Topics such as Hepatitis C, SARS and AIDS
    Replies: 3
    Last Post: 08-07-2009, 02:31 PM
  5. Replies: 0
    Last Post: 08-15-2004, 09:01 AM

Tags for this Thread

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •