Cardiothoracic & vascular anesthesia

Cost-Effectiveness of Cryopreserved vs Liquid-Stored Platelets for Managing Surgical Bleeding

JAMA Netw OpenPublished Economic evaluation alongside the CLIP-II randomised controlled trial

Primary result · Per-patient costResult — go to the resultMean difference 15 035 A$ 95% CI -A$1878 to A$31 949

Authors' conclusion

In this economic evaluation, cryopreserved platelets were dominated by liquid-stored platelets for managing bleeding in cardiac surgery.

Study context

Population
Adults undergoing cardiac surgery at high risk for platelet transfusion, 11 Australian tertiary hospitals, August 2021–April 2024
Participants
202 adults
Comparison
Cryopreserved vs liquid-stored platelets
  • Cryopreservedn = 104
  • Liquid-storedn = 98reference
Primary endpoint
Per-patient cost (2023 A$; Intensive care unit (ICU) admissions, hospitalisations, blood products)
Follow-up
90 days
Methodological detailscost-effectiveness analysis, Australian government funder perspective, multicentre
  • Cost-effectiveness analysis
  • Australian government funder perspective
  • Multicentre

Primary result

Per-patient cost

Mean difference

15 035 A$

95% CI -A$1878 to A$31 949

As reported in the abstract

Further findings

OutcomeEstimate
Blood loss within 24 h after ICU admissionmean difference 121 mL (95% CI 5–237)
Total postoperative blood lossdifference 504 mL (95% CI 145–862)
OutcomeDifference (95% CI)
Type 4 bleeding (BARC criteria)12.3% (1%–23.6%)
90-day mortality7.4% (−0.3% to 15.1%)

Safety

Events

OutcomeCryopreservedLiquid-stored
Serious adverse events11

Original publication

Cost-Effectiveness of Cryopreserved vs Liquid-Stored Platelets for Managing Surgical Bleeding. JAMA Netw Open. Published 1 December 2025. doi:10.1001/jamanetworkopen.2025.54363

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