Evidence map›Paper›PMID 36162128›Full record

ArticleCardiovascular journal of Africa

Creating blood conservation for a cardiothoracic surgical hospital: when you have to start from scratch!

Cenk Indelen, Yesim Uygun Kizmaz, Atakan Erkilinc, Adile Ece Altinay, Aryeh Shander, Mehmet Kaan Kirali

Abstract read
In one paragraph

Article in Cardiovascular journal of Africa. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Trial
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.

Cenk IndelenDepartment of Cardiovascular Surgery, Kosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey. Email: cindelen@gmail.com.
Yesim Uygun KizmazDepartment of Infection Disease and Microbiology, Kosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey.
Atakan ErkilincDepartment of Anesthesiology and Reanimation, Kosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey.
Adile Ece AltinayDepartment of Anesthesiology and Reanimation, Kosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey.
Aryeh ShanderDepartment of Anesthesiology and Reanimation, Englewood Hospital, New Jersey, USA.
Mehmet Kaan KiraliDepartment of Cardiovascular Surgery, Kosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis improvement report presents a hospital blood-management programme, a hospital-specific model that differs from patient blood managment and was aimed at improving operational standards of transfusion. We identified the challenges of the transfusion process and suggest practical strategies for improving them. The aim of this article was to investigate the effect of the programme on the transfusion of blood components.

methodsIn January 2019, the programme was started to improve the transfusion process. The data before and after the start of the programme were compared. Frequency distribution was obtained for each variable for statistical analysis and the chi-squared test with continuity correction was used to compare these variables for the years 2018 and 2019.

resultsTransfusion of total blood components decreased by 23.2%, fresh whole blood by 46.7%, fresh frozen plasma by 38.4%, pooled platelets by 14.0% and red blood cells by 9.66%. Autologous transfusion increased 11.7-fold. The emergency department (76.0%) and intensive care unit transfusion rate (9.26%) decreased significantly.

conclusionThis programme is an example for hospitals where patient blood management cannot be applied. The programme can be considered the first step for blood management and may be applied to blood management in institutions worldwide. The difficulty of blood supply and increased cost will increase the importance of hospital blood-management programmes in the coming years.

Indexed as

autologousblood conservationblood donationpatient blood managementquality management

Identifiers

PMID36162128
PMCPMC10658719

What OpenQuestion holds

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Registered trials

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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.