Observational studyRevista medica del Instituto Mexicano del Seguro Social2024
[Maximum surgical blood ordering schedule for cardiac surgery].
Observational study in Revista medica del Instituto Mexicano del Seguro Social, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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2 authors.
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Abstract
Background: Blood donation is a resource of great value; it is essential to ensure its correct and reasonable use. An excessive and unjustified demand for blood leads to an increase in cross matching and loss of components; Therefore, it is crucial to guarantee its proper use through the development of a maximum blood order program for surgery. Objective: Develop and implement a maximum surgical blood order program at the Hospital de Cardiología, Centro Médico Nacional Siglo XXI. Material and methods: Observational, longitudinal, ambispective and comparative study, carried out for 1 year. All patients undergoing cardiac surgeries were included. The crossed and transfused erythrocyte concentrates were counted. Crossover/transfusion ratio (C/T), probability of transfusion (T%), and transfusion index (TI) were calculated. Descriptive statistics were used, calculated from the MSBOS and analysis with the Wilcoxon test. Results: 58 types of elective surgeries were categorized with a total of 533 surgeries performed. When comparing the CT, T% and TI indices between the periods, improvement was obtained in the following surgeries: hemodynamic ablation, ASD closure, decortication, MCP, tracheostomy, heart transplantation and pericardial window. Conclusions: An MSBOS was developed in a Cardiology Hospital and an improvement was found in the evaluated indices. The implementation of the program allows evaluating the proper administration of blood components.
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