Wu, D.W.; Friedman, M.T.; Lombardi, D.P.; Hwang, R.; Sender, J.; Cobaj, V.; Niazi, M.; Li, Y.; Karpinos, R. Impact of Patient Blood Management on Red Blood Cell Utilization in an Urban Community Teaching Hospital: A Seven-Year Retrospective Study. Life2024, 14, 232.
Wu, D.W.; Friedman, M.T.; Lombardi, D.P.; Hwang, R.; Sender, J.; Cobaj, V.; Niazi, M.; Li, Y.; Karpinos, R. Impact of Patient Blood Management on Red Blood Cell Utilization in an Urban Community Teaching Hospital: A Seven-Year Retrospective Study. Life 2024, 14, 232.
Wu, D.W.; Friedman, M.T.; Lombardi, D.P.; Hwang, R.; Sender, J.; Cobaj, V.; Niazi, M.; Li, Y.; Karpinos, R. Impact of Patient Blood Management on Red Blood Cell Utilization in an Urban Community Teaching Hospital: A Seven-Year Retrospective Study. Life2024, 14, 232.
Wu, D.W.; Friedman, M.T.; Lombardi, D.P.; Hwang, R.; Sender, J.; Cobaj, V.; Niazi, M.; Li, Y.; Karpinos, R. Impact of Patient Blood Management on Red Blood Cell Utilization in an Urban Community Teaching Hospital: A Seven-Year Retrospective Study. Life 2024, 14, 232.
Abstract
The study aimed to showcase how implementing a patient blood management (PBM) program effectively cut unnecessary red blood cell (RBC) transfusions in a New York City urban community teaching hospital. Analyzing seven years from 2013 to 2019, a retrospective review of RBC transfusions was conducted. Following PBM introduction, considerable improvements were observed annually. These included a drop in mean pretransfusion hemoglobin levels from 7.26g/dL (2013) to 6.58g/dL (2019), a 34% reduction in yearly RBC unit transfusions, and fewer units given to patients with pre-Hgb levels ≥7g/dL (1210 units in 2013 to 310 units in 2019). Furthermore, the study noted a decline in two-unit RBC orders when Hgb levels were ≥7g/dL from 65 orders in 2013 to merely 3 in 2019. The estimated total cost-savings attributed to the six-year PBM program duration after full implementation in 2014 amounted to $2.1 million US dollars. Overall, PBM implementation significantly decreased RBC transfusions and enhanced transfusion practices. The findings emphasize that successful PBM strategies don't always necessitate extensive resources or increased budgets but instead rely on the application of intuitive methods, as evidenced by this study.
Keywords
Patient blood management; red blood cell; transfusion
Subject
Medicine and Pharmacology, Hematology
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
