Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    The second Austrian benchmark study for blood use in elective surgery: results and practice change

    Access Status
    Fulltext not available
    Authors
    Gombotz, H.
    Rehak, P.
    Shander, A.
    Hofmann, Axel
    Date
    2014
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Gombotz, H. and Rehak, P. and Shander, A. and Hofmann, A. 2014. The second Austrian benchmark study for blood use in elective surgery: results and practice change. Transfusion. 54 (10 Pt2): pp. 2646-2657.
    Source Title
    Transfusion
    DOI
    10.1111/trf.12687
    ISSN
    0041-1132
    School
    Centre for Population Health
    URI
    http://hdl.handle.net/20.500.11937/38366
    Collection
    • Curtin Research Publications
    Abstract

    Background: Five years after the first Austrian benchmark study demonstrated relatively high transfusion rate and an abundance of nonindicated transfusions in elective surgeries, this study was conducted to investigate the effects of the first benchmark study. Study Design and Methods: Data from 3164 patients undergoing primary unilateral total hip replacement (THR), primary unilateral noncemented total knee replacement (TKR), or coronary artery bypass graft (CABG) surgery at 15 orthopedic and six cardiac centers were collected and compared with the first study. Results: Transfusion rates decreased in THR (41% to 30%) and TKR (41% to 25%), but remained unchanged in CABG surgery (57% vs. 55%) compared with the first study. More than 80% of all transfusions involved at least 2 units of red blood cells (RBCs). Marked variations were observed in transfusion rates among the centers. The prevalence of anemia was three times higher in patients who received transfusions versus those who did not. However, preoperative anemia was left untreated in the majority of patients. A considerable intercenter variability of RBC loss ranging from 26% to 43% in THR, from 24% to 40% in TKR, and from 30% to 49% in CABG procedures was observed. Conclusion: The second benchmark study demonstrates substantial intercenter variability and small but significant reductions in RBC transfusions and RBC loss. Even though the main independent predictors of transfusion were the relative lost RBC volume followed by the relative preoperative and the lowest relative postoperative hemoglobin, preoperative anemia was not adequately treated in many patients, underscoring the importance of patient blood management in these patients.

    Related items

    Showing items related by title, author, creator and subject.

    • A pragmatic approach to embedding patient blood management in a tertiary hospital
      Leahy, M.; Roberts, H.; Mukhtar, Syed Aqif; Farmer, Shannon; Tovey, J.; Jewlachow, V.; Dixon, T.; Lau, P.; Ward, M.; Vodanovich, M.; Trentino, K.; Kruger, P.; Gallagher, T.; Koay, A.; Hofmann, Axel; Semmens, James; Towler, Simon (2014)
      BACKGROUND: We describe the implementation and impact of a patient blood management program (PBMP) in an Australian teaching hospital. STUDY DESIGN AND METHODS: A PBMP was introduced at a single tertiary care hospital in ...
    • AntiPORT: adaptation of a transfusion prediction score to an Australian cardiac surgery population
      Yeates, J.; Miles, L.; Blatchford, K.; Bailey, M.; Williams-Spence, J.; Reid, Christopher ; Coulson, T. (2022)
      Introduction: Risk scoring systems exist to predict perioperative blood transfusion risk in cardiac surgery, but none have been validated in the Australian or New Zealand population. The ACTA-PORT score was developed in ...
    • Improved outcomes and reduced costs associated with a health-system–wide patient blood management program: a retrospective observational study in four major adult tertiary-care hospitals
      Leahy, M.; Hofmann, A.; Towler, S.; Trentino, K.; Burrows, S.; Swain, S.; Hamdorf, J.; Gallagher, T.; Koay, A.; Geelhoed, G.; Farmer, Shannon (2017)
      © 2017 The Authors Transfusion published by Wiley Periodicals, Inc. on behalf of AABB BACKGROUND: Patient blood management (PBM) programs are associated with improved patient outcomes, reduced transfusions and costs. In ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.