Developing a blood conservation program in cardiac surgery

Abelardo DeAnda, Kathy M. Baker, Susan D. Roseff, Jeffrey A. Green, Harry McCarthy, Tyrone Aron, Bruce D. Spiess

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

The beneficial effects of blood transfusions have been described and widely accepted. Multiple factors, including shortages, costs, infectious risks, immunologic risks, and the risk/benefit ratio to the patient, have made the medical community reassess the guidelines for transfusion. Cardiac surgery presents a unique subset of patients, because intervention at multiple stages in the care of these patients is possible to decrease the need for transfusion. An algorithm for a cardiac surgery program was developed and a reassessment performed. Once it was seen that no detrimental effect on patient care occurred, the program was expanded, was enhanced, and subsequently has been offered to the rest of the health care system. This program has resulted in a decrease in cost while maintaining patient outcomes. The success of the program is believed to be a result of the multidisciplinary approach taken, with a commitment from all members of the blood reduction team being the key component of this success.

Original languageEnglish (US)
Pages (from-to)230-237
Number of pages8
JournalAmerican Journal of Medical Quality
Volume21
Issue number4
DOIs
StatePublished - Jul 2006
Externally publishedYes

Fingerprint

Thoracic Surgery
Patient Care
Costs and Cost Analysis
Blood Transfusion
Odds Ratio
Guidelines
Delivery of Health Care

Keywords

  • Blood
  • Blood conservation
  • Cardiac surgery
  • Transfusion

ASJC Scopus subject areas

  • Health Policy
  • Nursing(all)

Cite this

DeAnda, A., Baker, K. M., Roseff, S. D., Green, J. A., McCarthy, H., Aron, T., & Spiess, B. D. (2006). Developing a blood conservation program in cardiac surgery. American Journal of Medical Quality, 21(4), 230-237. https://doi.org/10.1177/1062860606289784

Developing a blood conservation program in cardiac surgery. / DeAnda, Abelardo; Baker, Kathy M.; Roseff, Susan D.; Green, Jeffrey A.; McCarthy, Harry; Aron, Tyrone; Spiess, Bruce D.

In: American Journal of Medical Quality, Vol. 21, No. 4, 07.2006, p. 230-237.

Research output: Contribution to journalArticle

DeAnda, A, Baker, KM, Roseff, SD, Green, JA, McCarthy, H, Aron, T & Spiess, BD 2006, 'Developing a blood conservation program in cardiac surgery', American Journal of Medical Quality, vol. 21, no. 4, pp. 230-237. https://doi.org/10.1177/1062860606289784
DeAnda, Abelardo ; Baker, Kathy M. ; Roseff, Susan D. ; Green, Jeffrey A. ; McCarthy, Harry ; Aron, Tyrone ; Spiess, Bruce D. / Developing a blood conservation program in cardiac surgery. In: American Journal of Medical Quality. 2006 ; Vol. 21, No. 4. pp. 230-237.
@article{8f89042a8b7446b6816c653b17e3e640,
title = "Developing a blood conservation program in cardiac surgery",
abstract = "The beneficial effects of blood transfusions have been described and widely accepted. Multiple factors, including shortages, costs, infectious risks, immunologic risks, and the risk/benefit ratio to the patient, have made the medical community reassess the guidelines for transfusion. Cardiac surgery presents a unique subset of patients, because intervention at multiple stages in the care of these patients is possible to decrease the need for transfusion. An algorithm for a cardiac surgery program was developed and a reassessment performed. Once it was seen that no detrimental effect on patient care occurred, the program was expanded, was enhanced, and subsequently has been offered to the rest of the health care system. This program has resulted in a decrease in cost while maintaining patient outcomes. The success of the program is believed to be a result of the multidisciplinary approach taken, with a commitment from all members of the blood reduction team being the key component of this success.",
keywords = "Blood, Blood conservation, Cardiac surgery, Transfusion",
author = "Abelardo DeAnda and Baker, {Kathy M.} and Roseff, {Susan D.} and Green, {Jeffrey A.} and Harry McCarthy and Tyrone Aron and Spiess, {Bruce D.}",
year = "2006",
month = "7",
doi = "10.1177/1062860606289784",
language = "English (US)",
volume = "21",
pages = "230--237",
journal = "American Journal of Medical Quality",
issn = "1062-8606",
publisher = "SAGE Publications Inc.",
number = "4",

}

TY - JOUR

T1 - Developing a blood conservation program in cardiac surgery

AU - DeAnda, Abelardo

AU - Baker, Kathy M.

AU - Roseff, Susan D.

AU - Green, Jeffrey A.

AU - McCarthy, Harry

AU - Aron, Tyrone

AU - Spiess, Bruce D.

PY - 2006/7

Y1 - 2006/7

N2 - The beneficial effects of blood transfusions have been described and widely accepted. Multiple factors, including shortages, costs, infectious risks, immunologic risks, and the risk/benefit ratio to the patient, have made the medical community reassess the guidelines for transfusion. Cardiac surgery presents a unique subset of patients, because intervention at multiple stages in the care of these patients is possible to decrease the need for transfusion. An algorithm for a cardiac surgery program was developed and a reassessment performed. Once it was seen that no detrimental effect on patient care occurred, the program was expanded, was enhanced, and subsequently has been offered to the rest of the health care system. This program has resulted in a decrease in cost while maintaining patient outcomes. The success of the program is believed to be a result of the multidisciplinary approach taken, with a commitment from all members of the blood reduction team being the key component of this success.

AB - The beneficial effects of blood transfusions have been described and widely accepted. Multiple factors, including shortages, costs, infectious risks, immunologic risks, and the risk/benefit ratio to the patient, have made the medical community reassess the guidelines for transfusion. Cardiac surgery presents a unique subset of patients, because intervention at multiple stages in the care of these patients is possible to decrease the need for transfusion. An algorithm for a cardiac surgery program was developed and a reassessment performed. Once it was seen that no detrimental effect on patient care occurred, the program was expanded, was enhanced, and subsequently has been offered to the rest of the health care system. This program has resulted in a decrease in cost while maintaining patient outcomes. The success of the program is believed to be a result of the multidisciplinary approach taken, with a commitment from all members of the blood reduction team being the key component of this success.

KW - Blood

KW - Blood conservation

KW - Cardiac surgery

KW - Transfusion

UR - http://www.scopus.com/inward/record.url?scp=33745869767&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33745869767&partnerID=8YFLogxK

U2 - 10.1177/1062860606289784

DO - 10.1177/1062860606289784

M3 - Article

VL - 21

SP - 230

EP - 237

JO - American Journal of Medical Quality

JF - American Journal of Medical Quality

SN - 1062-8606

IS - 4

ER -