Hemodynamics, fluids & transfusion
Changes in Practices After Implementation of a Patient Blood Management Program in French Surgical Departments: The National Multicenter Observational PERIOPES Study
Authors' conclusion
PBM practices in various surgical specialties improved significantly after the implementation of a PBM program.
Study context
- Population
- Consecutive surgical patients of different specialties in French expert (established preoperative anemia protocol) or pilot centersASA III–IV: 38% first, 45% second period
- Participants
- 1,542 vs 1,618
- Exposure
- After vs before implementation of a standardized patient blood management (PBM) program
- Aftern = 1,542
- Beforen = 1,618reference
- Outcome
- Preoperative anemia treatment rates, transfusion rates, and length of hospital stay
Methodological detailsnational, segmented regression adjusted on confounders (ASA scores and centers)
- National
- Segmented regression adjusted on confounders (ASA scores and centers)
Main finding
As reported in the abstract
Preoperative anaemia treatment rate, transfusion rate, LOS
After vs BeforeOdds ratio (95% CI)P value
Preoperative anemia treatment rate increased
2.37(1.20–4.74)
P = 0.0136- Length of hospital stay decreased
- estimate −0.11 days (95% CI −0.21 to −0.02); P = 0.0186
- Transfusion rate significantly decreased only in expert centers
- OR 0.17 0.17 (95% CI 0.03-0.88, P = .0354)
Observational data: associations, not effects.
Original publication
Changes in Practices After Implementation of a Patient Blood Management Program in French Surgical Departments: The National Multicenter Observational PERIOPES Study. Anesth Analg. Published 27 February 2024. doi:10.
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