The pillars of patient blood management: key to successful implementation <i>(Article, p. 2840)</i>

Sullivan, Harold C.; Roback, John D.

doi:10.1111/trf.15464

Cited by 15 publications

(10 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings verified the concept that despite the benefits of PBM, its implementation is not an easy and convenient option because of several obstacles, including the commitment of time and staff, the unwillingness to adopt and develop new guidelines and procedures, and the lack of proper methods to monitor and show the effect of changes applied in PBM [ 22 , 23 , 24 ]. We experienced most of these barriers in our effort to implement our preliminary PBM plan.…”

Section: Discussionsupporting

confidence: 79%

Seeking Strategies to Optimize Blood Utilization: The Preliminary Experience with Implementing a Patient Blood Management Program in a Greek Tertiary Hospital

Tsante

Papandreadi

Tsantes

et al. 2021

JCM

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 79%

Seeking Strategies to Optimize Blood Utilization: The Preliminary Experience with Implementing a Patient Blood Management Program in a Greek Tertiary Hospital

Tsante

Papandreadi

Tsantes

et al. 2021

JCM

View full text Add to dashboard Cite

show abstract

“…Consensus guidelines recommend treating anemic patients who will undergo elective major orthopedic surgery with iron and erythroid stimulating agents. 7,8 Barriers to treatment include the need for additional healthcare visits, increased drugs costs, and the need to postpone surgery in some cases. Understanding which patients are at increased risk for postoperative complications due to anemia is helpful because clinicians can better focus their efforts toward treating these patients.…”

Section: Introductionmentioning

confidence: 99%

“…Preoperative anemia treatment is a pillar of contemporary patient blood management. Consensus guidelines recommend treating anemic patients who will undergo elective major orthopedic surgery with iron and erythroid stimulating agents 7,8 . Barriers to treatment include the need for additional healthcare visits, increased drugs costs, and the need to postpone surgery in some cases.…”

Section: Introductionmentioning

confidence: 99%

Anemia, sex, and race as predictors of morbidity or mortality after knee arthroplasty surgery

et al. 2020

View full text Add to dashboard Cite

Background: Anemia is associated with poor outcome after major joint replacement surgery, but it is unclear whether sex and race modify its impact on outcome. We hypothesized that anemia would be associated with increased morbidity or mortality after knee arthroplasty surgery and that sex and race would be effect modifiers for this relationship. Study Design and Methods: We performed a retrospective cohort study of elective knee arthroplasty patients between 2013 and 2018 using data from the National Surgical Quality Improvement Program. Morbidity or mortality after surgery was compared between patients without anemia, with mild anemia, and with moderate to severe anemia. Multivariable logistic regression was used to determine adjusted odds for morbidity or mortality with anemia. Interaction terms were entered into the model to test for effect modification by sex and race. Results: 243 491 patients were included and 30 135 patients (12.4%) were anemic. Morbidity or mortality occurred in 3.7% of patients without anemia, 5.2% of patients with mild anemia, and 7.1% of patients with moderate to severe anemia (P < .001). After adjustment for confounding variables, mild anemia OR = 1.36 (95% CI = 1.28-1.45), and moderate to severe anemia OR = 1.92 (95% CI = 1.72-2.13) were associated with increased odds of morbidity or mortality. Sex, but not race, was a significant effect modifier with men having a greater increase in morbidity or mortality when anemic (P = .02). Conclusions: Anemia is associated with increased morbidity or mortality after knee arthroplasty surgery and men have a greater increase in perioperative risk than women when anemic.

show abstract

“…They focus on optimizing hemoglobin values, minimizing blood losses (eg, frequent phlebotomy, intraoperative), managing coagulopathy, and enhancing tolerance to anemia. 8 Practitioners of PBM consistently consider the hypothetical situation of caring for patients without the availability of blood products when describing its relevance and value. The US blood supply depends on volunteer donors.…”

Section: ■ Background On Patient Bloodmentioning

confidence: 99%

Blood management during the COVID-19 pandemic

Tolich

Aurón

McCoy

et al. 2020

CCJM

View full text Add to dashboard Cite

show abstract

The pillars of patient blood management: key to successful implementation (Article, p. 2840)

Abstract: http://onlinelibrary.wiley.com/doi/10.1111/trf.15414/full

Cited by 15 publications

References 38 publications

Seeking Strategies to Optimize Blood Utilization: The Preliminary Experience with Implementing a Patient Blood Management Program in a Greek Tertiary Hospital

Seeking Strategies to Optimize Blood Utilization: The Preliminary Experience with Implementing a Patient Blood Management Program in a Greek Tertiary Hospital

Anemia, sex, and race as predictors of morbidity or mortality after knee arthroplasty surgery

Blood management during the COVID-19 pandemic

Contact Info

Product

Resources

About