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ABSTRACT: Background
Since 2008, updated perioperative blood management (PoBM) guidelines have been implemented in Zhejiang, China. These guidelines ensure that the limited blood resources meet increasing clinical needs and patient safety requirements. We assessed the effects of implementing updated PoBM guidelines in hospitals in Zhejiang, China.Methods
We performed a retrospective multicenter study that included adult patients who received blood transfusions during surgical care in the years 2007 and 2011. The volume of allogeneic red blood cells or autologous blood transfusions (cell salvage and acute normovolemic hemodilution [ANH]) for each case was recorded. The rates of performing appropriate pre-transfusion assessments during and after surgery were calculated and compared between the 2 years.Results
We reviewed 270,421 cases from nine hospitals. A total of 15,739 patients received blood transfusions during the perioperative period. The rates of intraoperative allogeneic transfusion (74.8% vs. 49.9%, p?ConclusionContinuing education and implementation of updated PoBM guidelines resulted in significant improvements in the quality of blood transfusion management in hospitals in Zhejiang, China.
SUBMITTER: Yao Y
PROVIDER: S-EPMC6237039 | biostudies-literature | 2018 Nov
REPOSITORIES: biostudies-literature
Yao Yuanyuan Y Li Jun J Wang Mingcang M Chen Zhonghua Z Wang Weixing W Lei Lipei L Huang Changshun C Yao Ming M Yuan Guihua G Yan Min M
BMC health services research 20181114 1
<h4>Background</h4>Since 2008, updated perioperative blood management (PoBM) guidelines have been implemented in Zhejiang, China. These guidelines ensure that the limited blood resources meet increasing clinical needs and patient safety requirements. We assessed the effects of implementing updated PoBM guidelines in hospitals in Zhejiang, China.<h4>Methods</h4>We performed a retrospective multicenter study that included adult patients who received blood transfusions during surgical care in the y ...[more]