Τίτλος:
Seeking strategies to optimize blood utilization: The preliminary experience with implementing a patient blood management program in a Greek tertiary hospital
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Objectives: Our aim was to assess blood utilization after implementation of a patient blood management (PBM) program in a Greek tertiary hospital. Methods: An electronic transfusion request form and a prospective audit of transfusion practice were implemented. After the one-year implementation period, a retrospective review was performed to assess transfusion practice in medical patients. Results: Pre-PBM, a total of 9478 RBC units were transfused (mean: 1.75 units per patient) compared with 9289 transfused units (mean: 1.57 units per patient) post-PBM. Regarding the post-PBM period, the mean hemoglobin (Hb) level of the 3099 medical patients without comorbidities transfused was 7.19 ± 0.79 gr/dL. Among them, 2065 (66.6%) had Hb levels >7.0 gr/dL, while 167 (5.3%) had Hb levels >8.0 gr/dL. In addition, 331 (25.3%) of the transfused patients with comorbidities had Hb >8.0 gr/dL. The Hb transfusion thresholds significantly differed across the clinics (p < 0.001), while 21.8% of all medical non-bleeding patients received more than one RBC unit transfusion. Conclusion: A poor adherence with the restrictive transfusion threshold of 7.0 gr/dL was observed. The adoption of a less strict threshold might be a temporary step to allow physicians to become familiar with the program and be informed on the safety and advantages of the restrictive transfusion strategy. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Συγγραφείς:
Tsante, A.
Papandreadi, A.
Tsantes, A.G.
Kyriakou, E.
Douramani, P.
Loukopoulou, E.
Gialeraki, A.
Kokoris, S.I.
Kypraiou, A.
Poulis, A.
Kopterides, P.
Piovani, D.
Bonovas, S.
Valsami, S.
Tsantes, A.Ε.
Περιοδικό:
Journal of Clinical Medicine Research
Λέξεις-κλειδιά:
hemoglobin, Article; blood transfusion; comorbidity; Greece; health program; hemoglobin blood level; human; major clinical study; patient blood management; protein expression; retrospective study; statistical analysis; tertiary care center
