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Patient Blood Management Program Improves Blood Use and Clinical Outcomes in Orthopedic Surgery.
Anesthesiology
December 2018
From the Department of Anesthesiology/Critical Care Medicine (V.M.D., S.M.F.) Department of Orthopaedic Surgery (R.M.A., H.S.K., R.S.S.) Department of Pathology (Transfusion Medicine; E.A.G., R.G., P.M.N.) The Johns Hopkins School of Medicine (P.B.G.), Baltimore, Maryland Simmons Cancer Institute at Southern Illinois University, Springfield, Illinois (R.G.) Armstrong Institute for Patient Safety and Quality (K.H.K.L., S.M.F.) The Johns Hopkins Health System Blood Management Program (S.M.F.), The Johns Hopkins Medical Institutions, Baltimore, Maryland Hofstra University School of Medicine, Hempstead, New York (W.W.Y.).
What We Already Know About This Topic: WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Although randomized trials show that patients do well when given less blood, there remains a persistent impression that orthopedic surgery patients require a higher hemoglobin transfusion threshold than other patient populations (8 g/dl vs. 7 g/dl). The authors tested the hypothesis in orthopedic patients that implementation of a patient blood management program encouraging a hemoglobin threshold less than 7 g/dl results in decreased blood use with no change in clinical outcomes.
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