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September 1, 2023Cardiovascular journal of South Africa/Cardiovascular journal of Southern AfricaOpen Access

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

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CİCenk İndelenYKYeşim Uygun KızmazAEAtakan Erkılınç

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Overview

Quality improvement study demonstrates reduced blood component use in cardiothoracic surgery, indicating feasible conservation strategies when patient blood management cannot be applied.

Key Points

  • To assess the effect of a hospital-specific blood-management program on operational standards and transfusion rates in a cardiothoracic surgical hospital.
  • Implemented a hospital blood-management program in January 2019 to optimize transfusion workflows.
  • Compared transfusion data before (2018) and after (2019) program initiation using frequency distributions and chi-squared tests with continuity correction.
  • Total blood component transfusions decreased by 23.2%, including reductions in fresh whole blood (46.7%), fresh frozen plasma (38.4%), pooled platelets (14.0%), and red blood cells (9.66%).
  • Autologous transfusion increased 11.7-fold following program implementation.
  • Transfusion rates declined by 76.0% in the emergency department and by 9.26% in the intensive care unit.

Cite This Study

İndelen et al. (2023) studied this question.

synapsesocial.com/papers/6a98d4ac174d19d294aef75bhttps://doi.org/10.5830/cvja-2022-044
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