ArticleBMC health services research2018
Improvements in blood transfusion management: cross-sectional data analysis from nine hospitals in Zhejiang, China.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Patient Blood Management: a systematic review of current international guidelines.British journal of anaesthesia · 2026Pooled it
- Comparative evaluation of two autotransfusion devices in a 72h survival swine model of surgically induced controlled splenic bleeding.PloS one · 2025Article
- The effect of aging on the epidemiology of blood transfusions in North Khorasan province, Iran.American journal of blood research · 2023Article
- Effect of intraoperative cell rescue on bleeding related indexes after cesarean section.World journal of clinical cases · 2022Article
- Long time blood-transfusion trend in a European general hospital.EXCLI journal · 2020Article
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Authors and funding
10 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince 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.
methodsWe 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.
resultsWe 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 < 0.001) and postoperative transfusion (51.9% vs. 44.2%, p < 0.001) both decreased from 2007 to 2011; the rates of appropriate assessment increased significantly during (63.0% vs. 78.0%, p < 0.001) and after surgery (70.6% vs. 78.4%, p < 0.001). The number of patients who received cell salvage or ANH was higher in 2011 (27.6% cell salvage; 9.3% ANH) than in 2007 (6.3% cell salvage; 0.1% ANH).
conclusionContinuing education and implementation of updated PoBM guidelines resulted in significant improvements in the quality of blood transfusion management in hospitals in Zhejiang, China.
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