Evidence map›Paper›PMID 29702617›Full record

ArticleSensors (Basel, Switzerland)2018

Economic Analysis of the Reduction of Blood Transfusions during Surgical Procedures While Continuous Hemoglobin Monitoring Is Used.

Borja Ribed-Sánchez, Cristina González-Gaya, Sara Varea-Díaz, Carlos Corbacho-Fabregat, Jaime Pérez-Oteyza, Cristóbal Belda-Iniesta

Abstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Anesthetic implications in hyperthermic intraperitoneal chemotherapy.Journal of anaesthesiology, clinical pharmacology
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Borja Ribed-SánchezDepartment of Manufacturing Engineering, ETSII-Universidad Nacional de Educación a Distancia (UNED), C/Juan del Rosal 12, 28040 Madrid, Spain. borjaribed@gmail.com.
Cristina González-GayaDepartment of Manufacturing Engineering, ETSII-Universidad Nacional de Educación a Distancia (UNED), C/Juan del Rosal 12, 28040 Madrid, Spain. cggaya@ind.uned.es.ORCID 0000-0001-8668-4682
Sara Varea-DíazDepartment of Hematology, HM Hospitales, Plaza Conde Valle de Suchil 2, 28015 Madrid, Spain. svarea@hmhospitales.com.
Carlos Corbacho-FabregatDepartment of Anesthesia, HM Hospitales, Plaza Conde Valle de Suchil 2, 28015 Madrid, Spain. carloscorbacho@me.com.
Jaime Pérez-OteyzaMontepríncipe, Ctra. Boadilla del Monte, Km. 5.300, 28925 Madrid, Spain. jperezoteyza@hmhospitales.com.
Cristóbal Belda-IniestaDepartment of R&D, HM Hospitales, Plaza Conde Valle de Suchil 2, 28015 Madrid, Spain. cbelda@hmhospitales.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTwo million transfusions are performed in Spain every year. These come at a high economic price for the health system, increasing the morbidity and mortality rates. The way of obtaining the hemoglobin concentration value is via invasive and intermittent methods, the results of which take time to obtain. The drawbacks of this method mean that some transfusions are unnecessary. New continuous noninvasive hemoglobin measurement technology can save unnecessary transfusions.

methodsA prospective study was carried out with a historical control of two homogeneous groups. The control group used the traditional hemoglobin measurement methodology. The experimental group used the new continuous hemoglobin measurement technology. The difference was analyzed by comparing the transfused units of the groups. The economic savings was calculated by multiplying the cost of a transfusion by the difference in units, taking into account measurement costs.

resultsThe percentage of patients needing a transfusion decreased by 7.4%, and the number of transfused units per patient by 12.56%. Economic savings per patient were €20.59. At the national level, savings were estimated to be 13,500 transfusions (€1.736 million).

conclusionsConstant monitoring of the hemoglobin level significantly reduces the need for blood transfusions. By using this new measurement technology, health care facilities can significantly reduce costs and improve care quality.

Indexed as

Blood TransfusionHemoglobinsHumansProspective StudiesSpainHemoglobinscost savingshemoglobinphotoplethysmographyreal-time monitoringspectrophotometrytransfusions

Identifiers

PMID29702617
PMCPMC5981621

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.