Creating blood conservation for a cardiothoracic surgical hospital: when you have to start from scratch!

IF 0.7 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Cardiovascular Journal of Africa Pub Date : 2023-07-23 Epub Date: 2022-09-19 DOI:10.5830/CVJA-2022-044

Cenk Indelen, Yesim Uygun Kizmaz, Atakan Erkilinc, Adile Ece Altinay, Aryeh Shander, Mehmet Kaan Kirali

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引用次数: 0

Abstract

Background: This improvement report presents a hospital blood-management programme, a hospital-specific model that differs from patient blood managment and was aimed at improving operational standards of transfusion. We identified the challenges of the transfusion process and suggest practical strategies for improving them. The aim of this article was to investigate the effect of the programme on the transfusion of blood components.

Methods: In January 2019, the programme was started to improve the transfusion process. The data before and after the start of the programme were compared. Frequency distribution was obtained for each variable for statistical analysis and the chi-squared test with continuity correction was used to compare these variables for the years 2018 and 2019.

Results: Transfusion of total blood components decreased by 23.2%, fresh whole blood by 46.7%, fresh frozen plasma by 38.4%, pooled platelets by 14.0% and red blood cells by 9.66%. Autologous transfusion increased 11.7-fold. The emergency department (76.0%) and intensive care unit transfusion rate (9.26%) decreased significantly.

Conclusion: This programme is an example for hospitals where patient blood management cannot be applied. The programme can be considered the first step for blood management and may be applied to blood management in institutions worldwide. The difficulty of blood supply and increased cost will increase the importance of hospital blood-management programmes in the coming years.

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为心胸外科医院创建血液保护:当你必须从头开始!

背景:这份改进报告提出了一项医院血液管理方案，这是一种不同于患者血液管理的医院特有模式，旨在提高输血的操作标准。我们确定了输血过程中的挑战，并提出了切实可行的改进策略。本文的目的是调查该方案对血液成分输血的影响。方法:2019年1月启动改进输血流程方案。将项目开始前后的数据进行比较。获得各变量的频率分布进行统计分析，并采用连续性校正的卡方检验对2018年和2019年的变量进行比较。结果:总血组分、新鲜全血、新鲜冷冻血浆、血小板、红细胞分别下降23.2%、46.7%、38.4%、14.0%和9.66%。自体输血增加了11.7倍。急诊科(76.0%)和重症监护病房(9.26%)输血率明显下降。结论:该方案是不能应用病人血液管理的医院的一个范例。该规划可被视为血液管理的第一步，并可应用于世界各地机构的血液管理。在今后几年中，血液供应困难和费用增加将增加医院血液管理方案的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cardiovascular Journal of Africa CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Cardiovascular Journal of Africa (CVJA) is an international peer-reviewed journal that keeps cardiologists up to date with advances in the diagnosis and treatment of cardiovascular disease. Topics covered include coronary disease, electrophysiology, valve disease, imaging techniques, congenital heart disease (fetal, paediatric and adult), heart failure, surgery, and basic science.