ORIGINAL CONTRIBUTION Variation in Use of Blood Transfusion in Coronary Artery Bypass Graft Surgery Elliott Bennett-Guerrero, MD Context Perioperative blood transfusions are costly and have safety concerns. As a result, there have been multiple initiatives to reduce transfusion use. However, the Yue Zhao, PhD degree to which perioperative transfusion rates vary among hospitals is unknown. Sean M. O’Brien, PhD Objective To assess hospital-level variation in use of allogeneic red blood cell (RBC), T. B. Ferguson Jr, MD fresh-frozen plasma, and platelet transfusions in patients undergoing coronary artery Eric D. Peterson, MD, MPH bypass graft (CABG) surgery. James S. Gammie, MD Design, Setting, and Patients An observational cohort of 102 470 patients un- dergoing primary isolated CABG surgery with cardiopulmonary bypass during calen- Howard K. Song, MD, PhD dar year 2008 at 798 sites in the United States, contributing data to the Society of Thoracic Surgeons Adult Cardiac Surgery Database. ATIENTS WHO UNDERGO CAR- diac surgery receive a signifi- Main Outcome Measures Perioperative (intraoperative and postoperative) trans- cant proportion of the 14 mil- fusion of RBCs, fresh-frozen plasma, and platelets. Plion units of allogeneic red Results At hospitals performing at least 100 on-pump CABG operations (82 446 cases blood cells
JAMA – American Medical Association
Published: Oct 13, 2010
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