Blood product conservation is associated with improved outcomes and reduced costs after cardiac surgery

Journal of Thoracic and Cardiovascular Surgery

Volumn 145, Issue 3, 2013, Pages 796-804

  Lapar, Damien J ^a   Crosby, Ivan K ^a   Ailawadi, Gorav ^a   Ad, Niv ^b   Choi, Elmer ^b   Spiess, Bruce D ^c   Rich, Jeffery B ^d   Kasirajan, Vigneshwar ^c   Fonner, Edwin ^e   Kron, Irving L ^a   Speir, Alan M ^b  

^a UNIVERSITY OF VIRGINIA   (United States)

^b INOVA HEART AND VASCULAR INSTITUTE   (United States)

^c VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

^d Mid Atlantic Cardiothoracic Surgeons   (United States)

^e Virginia Cardiac Surgery Quality Initiative   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTIFICIAL VENTILATION; BLOOD CONSERVATION; BLOOD TRANSFUSION; CEREBROVASCULAR ACCIDENT; CONFERENCE PAPER; CORONARY ARTERY BYPASS GRAFT; DISEASE ASSOCIATION; FEMALE; HEART ATRIUM FIBRILLATION; HEMODIALYSIS; HOSPITALIZATION COST; HUMAN; INTRAOPERATIVE PERIOD; KIDNEY FAILURE; MAJOR CLINICAL STUDY; MALE; MORBIDITY; PNEUMONIA; POSTOPERATIVE PERIOD; PRACTICE GUIDELINE; PRIORITY JOURNAL; REOPERATION; SURGICAL MORTALITY; TREATMENT OUTCOME; WOUND INFECTION;

EID: 84873935019     PISSN: 00225223     EISSN: 1097685X     Source Type: Journal    
DOI: 10.1016/j.jtcvs.2012.12.041     Document Type: Conference Paper

References (30)

1. J.L. Carson, A. Duff, R.M. Poses, J.A. Berlin, R.K. Spence, and R. Trout Effect of anaemia and cardiovascular disease on surgical mortality and morbidity Lancet 348 1996 1055 1060
2. G.R. DeFoe, C.S. Ross, E.M. Olmstead, S.D. Surgenor, M.P. Fillinger, and R.C. Groom Lowest hematocrit on bypass and adverse outcomes associated with coronary artery bypass grafting. Northern New England Cardiovascular Disease Study Group Ann Thorac Surg 71 2001 769 776
3. K. Karkouti, G. Djaiani, M.A. Borger, W.S. Beattie, L. Fedorko, and D. Wijeysundera Low hematocrit during cardiopulmonary bypass is associated with increased risk of perioperative stroke in cardiac surgery Ann Thorac Surg 80 2005 1381 1387
4. A. Kulier Anemia and morbidity and mortality in coronary bypass surgery Curr Opin Anaesthesiol 20 2007 57 64
5. A. Kulier, J. Levin, R. Moser, G. Rumpold-Seitlinger, I.C. Tudor, and S.A. Snyder-Ramos Impact of preoperative anemia on outcome in patients undergoing coronary artery bypass graft surgery Circulation 116 2007 471 479
6. M.K. Banbury, M.E. Brizzio, J. Rajeswaran, B.W. Lytle, and E.H. Blackstone Transfusion increases the risk of postoperative infection after cardiovascular surgery J Am Coll Surg 202 2006 131 138
7. M.C. Engoren, R.H. Habib, A. Zacharias, T.A. Schwann, C.J. Riordan, and S.J. Durham Effect of blood transfusion on long-term survival after cardiac operation Ann Thorac Surg 74 2002 1180 1186
8. C.G. Koch, L. Li, A.I. Duncan, T. Mihaljevic, D.M. Cosgrove, and F.D. Loop Morbidity and mortality risk associated with red blood cell and blood-component transfusion in isolated coronary artery bypass grafting Crit Care Med 34 2006 1608 1616
9. C.G. Koch, L. Li, A.I. Duncan, T. Mihaljevic, F.D. Loop, and N.J. Starr Transfusion in coronary artery bypass grafting is associated with reduced long-term survival Ann Thorac Surg 81 2006 1650 1657
10. G.J. Murphy, B.C. Reeves, C.A. Rogers, S.I. Rizvi, L. Culliford, and G.D. Angelini Increased mortality, postoperative morbidity, and cost after red blood cell transfusion in patients having cardiac surgery Circulation 116 2007 2544 2552
11. B.H. Scott, F.C. Seifert, and R. Grimson Blood transfusion is associated with increased resource utilisation, morbidity and mortality in cardiac surgery Ann Card Anaesth 11 2008 15 19
12. S.D. Surgenor, G.R. DeFoe, M.P. Fillinger, D.S. Likosky, R.C. Groom, and C. Clark Intraoperative red blood cell transfusion during coronary artery bypass graft surgery increases the risk of postoperative low-output heart failure Circulation 114 1 Suppl 2006 I43 I48
13. S.D. Surgenor, R.S. Kramer, E.M. Olmstead, C.S. Ross, F.W. Sellke, and D.S. Likosky The association of perioperative red blood cell transfusions and decreased long-term survival after cardiac surgery Anesth Analg 108 2009 1741 1746
14. M.A. Rogers, N. Blumberg, S. Saint, K.M. Langa, and B.K. Nallamothu Hospital variation in transfusion and infection after cardiac surgery: a cohort study BMC Med 7 2009 37
15. B.D. Spiess Blood transfusion: the silent epidemic Ann Thorac Surg 72 2001 S1832 S1837
16. R.W. Taylor, J. O'Brien, S.J. Trottier, L. Manganaro, M. Cytron, and M.F. Lesko Red blood cell transfusions and nosocomial infections in critically ill patients Crit Care Med 34 2006 2302 2308 quiz 09
17. P. Toy, and C. Lowell TRALI-definition, mechanisms, incidence and clinical relevance Best Pract Res Clin Anaesthesiol 21 2007 183 193
18. C.G. Koch, F. Khandwala, L. Li, F.G. Estafanous, F.D. Loop, and E.H. Blackstone Persistent effect of red cell transfusion on health-related quality of life after cardiac surgery Ann Thorac Surg 82 2006 13 20
19. J. Brevig, J. McDonald, E.S. Zelinka, T. Gallagher, R. Jin, and G.L. Grunkemeier Blood transfusion reduction in cardiac surgery: multidisciplinary approach at a community hospital Ann Thorac Surg 87 2009 532 539
20. R.E. Helm, T.K. Rosengart, M. Gomez, J.D. Klemperer, W.J. DeBois, and F. Velasco Comprehensive multimodality blood conservation: 100 consecutive CABG operations without transfusion Ann Thorac Surg 65 1998 125 136
21. D.M. Moskowitz, J.J. Klein, A. Shander, K.M. Cousineau, R.S. Goldweit, and C. Bodian Predictors of transfusion requirements for cardiac surgical procedures at a blood conservation center Ann Thorac Surg 77 2004 626 634
22. D.M. Moskowitz, J.N. McCullough, A. Shander, J.J. Klein, C.A. Bodian, and R.S. Goldweit The impact of blood conservation on outcomes in cardiac surgery: is it safe and effective? Ann Thorac Surg 90 2010 451 458
23. E. Ovrum, E.A. Holen, M. Abdelnoor, and R. Oystese Conventional blood conservation techniques in 500 consecutive coronary artery bypass operations Ann Thorac Surg 52 1991 500 505
24. D.L. Ngaage Off-pump coronary artery bypass grafting: the myth, the logic and the science Eur J Cardiothorac Surg 24 2003 557 570
25. A.W. Bracey, R. Radovancevic, S.A. Riggs, S. Houston, H. Cozart, and W.K. Vaughn Lowering the hemoglobin threshold for transfusion in coronary artery bypass procedures: effect on patient outcome Transfusion 39 1999 1070 1077
26. A. DeAnda Jr., K.M. Baker, S.D. Roseff, J.A. Green, H. McCarthy, and T. Aron Developing a blood conservation program in cardiac surgery Am J Med Qual 21 2006 230 237
27. V.A. Ferraris, S.P. Ferraris, S.P. Saha, E.A. Hessel 2nd, C.K. Haan, and B.D. Royston Perioperative blood transfusion and blood conservation in cardiac surgery: the Society of Thoracic Surgeons and The Society of Cardiovascular Anesthesiologists clinical practice guideline Ann Thorac Surg 83 5 Suppl 2007 S27 S86
28. P.C. Hebert, G. Wells, M.A. Blajchman, J. Marshall, C. Martin, and G. Pagliarello A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group N Engl J Med 340 1999 409 417
29. B.A. Whitson, S.J. Huddleston, K. Savik, and S.J. Shumway Bloodless cardiac surgery is associated with decreased morbidity and mortality J Card Surg 22 2007 373 378
30. M.E. Stokes, X. Ye, M. Shah, K. Mercaldi, M.W. Reynolds, and M.F. Rupnow Impact of bleeding-related complications and/or blood product transfusions on hospital costs in inpatient surgical patients BMC Health Serv Res 11 2011 135