Department of Cardiovascular Surgery.
Department of Infectious Disease.
Cir Cir. 2022;90(S1):38-44. doi: 10.24875/CIRU.21000509.
Multidisciplinary patient blood management practices reduce costs of blood products and transfusion-related complications in hospitals. Hospital costs are high in pediatric cardiac surgery patients because high hematocrit levels are usually needed; the need for blood products is high due to complex and long surgical procedures; the length of stay in the intensive care unit (ICU) is long, and the use of treatment modalities such as dialysis and ECMO is common in this patient population.
In this retrospective study, we investigated the effects of the use of the multidisciplinary patient blood management protocols on the use of blood products and associated costs by comparing the outcomes of the protocol implemented in the year 2019 to the blood product use and costs of the previous year. In our clinic, 414 patients were operated on in 2019; 230 of them were males and 184 of them were females.
Transfusions carried out in adherence to such protocols have reduced mortality rates along with a decline in hospital costs.
We, too, achieved a 10% reduction in blood product costs per patient after the implementation of the multidisciplinary patient blood management protocol.
多学科患者血液管理实践可降低医院血液制品和输血相关并发症的成本。儿科心脏手术患者的医院成本较高，因为通常需要较高的血细胞比容水平；由于手术复杂且时间长，血液制品的需求量较高；重症监护病房（ICU）的住院时间较长，并且在该患者人群中经常使用透析和 ECMO 等治疗方式。
在这项回顾性研究中，我们通过比较 2019 年实施的协议的结果与前一年的血液制品使用和成本，研究了多学科患者血液管理方案的使用对血液制品使用和相关成本的影响。在我们的诊所中，2019 年有 414 名患者接受了手术；其中 230 名男性，184 名女性。
按照这些协议进行的输血降低了死亡率，并降低了医院成本。
在实施多学科患者血液管理方案后，我们的血液制品成本也降低了 10%。
