前瞻性监测大型教学医院中的血浆和血小板输血可显著降低成本。

Prospective monitoring of plasma and platelet transfusions in a large teaching hospital results in significant cost reduction.

机构信息

Department of Pathology and Division of Hematology-Oncology, The University of Texas Southwestern Medical Center, Dallas, Texas 75390-9073, USA.

出版信息

Transfusion. 2010 Feb;50(2):487-92. doi: 10.1111/j.1537-2995.2009.02413.x. Epub 2009 Oct 5.

DOI:10.1111/j.1537-2995.2009.02413.x

PMID:19804569

Abstract

BACKGROUND

Plasma and platelets (PLTs) are often transfused to correct mild to moderately abnormal laboratory values. Our objective was to reduce unnecessary plasma and PLT transfusions to nonbleeding patients by prospective triage and education of end users in evidence-based hemostasis and transfusion medicine practices.

STUDY DESIGN AND METHODS

Using the Parkland Memorial Hospital's transfusion service and admission database as the data source, this study comprises the comparison of transfusion data on plasma and PLT use between pre- (2000-2002) and posttriage (2003-2006) periods. Yearly transfusion and wastage data on red blood cells (RBCs), plasma, and PLTs and yearly hospital admissions, trauma visits, and surgical procedures were extracted retrospectively for the study.

RESULTS

The study revealed that implementation of triage resulted in a significant reduction of plasma (60%) and PLT (25%) transfusions, saving more than $3,000,000 over 4 years.

CONCLUSIONS

Prospective triage and evidence-based transfusion practice education reduced unnecessary plasma and PLT transfusions and health care costs.

摘要

背景

常通过输注血浆和血小板（PLT）来纠正轻度至中度异常的实验室值。我们的目标是通过对终端用户进行基于循证止血和输血医学实践的前瞻性分诊和教育，减少非出血患者中不必要的血浆和 PLT 输注。

研究设计和方法

本研究使用 Parkland Memorial Hospital 的输血服务和入院数据库作为数据源，比较了分诊前（2000-2002 年）和分诊后（2003-2006 年）的血浆和 PLT 使用的输血数据。回顾性提取了 RBC、血浆和 PLT 的每年输血和浪费数据以及每年的住院人数、创伤就诊人数和手术数量。