Phenotyping the Transfusion Management Experience of Trainees Using Electronic Health Records
Authors' conclusion
Variation exists in the transfusion management experience among trainees at a single academic center.
Study context
- Population
- Anesthesiology residency graduates, University of Michigan cases in the Multicenter Perioperative Outcomes Group (MPOG) registry, January 1, 2012, to December 31, 2022
- Participants
- 231 participants · 8 graduating cohorts
- Outcome
- Participation in intraoperative transfusion management (transfusion of any volume of homologous pRBC documented in the intraoperative anesthesia record)
- Follow-up
- Over the entire course of residency training
Methodological detailssingle-centre, electronic health record (EHR) data (MPOG registry)
- Single-centre
- EHR data (MPOG registry)
Main finding
As reported in the abstract
Cases with intraoperative pRBC transfusion per resident
Cases with intraoperative packed red blood cells (pRBC) transfusion per resident, mean (SD 8; range 16 to 60)
37
Cases including intraoperative pRBC transfusion, of 222,006
8529
4%
Observational data: associations, not effects.
Further findings
Participation in severe hemorrhage resuscitation (≥4 pRBCs) (subgroup)
- Mean cases per resident (SD 3; range 2-22)
- 10
Participation in non-pRBC transfusion
- Mean cases per resident (SD 3; range 1-14)
- 7
Participation in cell salvaged blood transfusion
- Mean cases per resident (SD 4; range 3-26)
- 13
Surgical services accounting for transfusion management experiences
- Five of 19 services (cardiac, transplant, vascular, neurosurgery, orthopedic) accounted for the majority
- 5668; 66%
Original publication
Phenotyping the Transfusion Management Experience of Trainees Using Electronic Health Records. Anesth Analg. Published 27 March 2025. doi:10. 1213/ ane. 0000000000007477
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