Cardiothoracic & vascular anesthesia
Huaxi integrated blood management reduces the red blood cell transfusion for on-pump cardiac surgery: A quasi-experimental study
Authors' conclusion
The Huaxi Integrated Blood Management strategy may be effective at reducing the need for packed red blood cell transfusion and enhancing patient care.
Study context
- Population
- Patients undergoing on-pump cardiac surgery, January 2019 to December 2021
- Comparison
- Before vs After
- Outcome
- Incidence and volume of intra- and postoperative packed RBC transfusions
Methodological detailsquasi-experimental, single-centre
- Quasi-experimental
- Single-centre
Main finding
As reported in the abstract
Packed RBC transfusion incidence and volume
Incidence of packed RBC transfusion decreased, intraoperative
8.1%
Incidence of packed RBC transfusion decreased, postoperative
12.3%
Mean volume of packed RBC transfusion decreased, intraoperative
0.28 units
Mean volume of packed RBC transfusion decreased, postoperative
0.49 units
Secondary outcomes
Hemoglobin concentration · POD 1
- Significantly higher after implementation; maximal mean increase on POD 1
- 4.72 g/l
Surgery-type subgroups (subgroup)
- Similar benefit across subgroups of different types of surgery
Original publication
Huaxi integrated blood management reduces the red blood cell transfusion for on-pump cardiac surgery: A quasi-experimental study. J Clin Anesth. Published 26 August 2024. doi:10. 1016/ j. jclinane. 2024. 111593
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