For assessment of changes in intraoperative red blood cell transfusion practices over time, the pooled incidence of transfusion correlates highly with total units transfused
Abstract Study objective Multiple studies nationwide and at single hospitals have examined changes over time in the incidence of perioperative red blood cell (RBC) transfusion. However, the cost of RBC transfusions is related to the number of RBC units transfused, not to the incidence. We evaluate w...
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| Veröffentlicht in: | Journal of clinical anesthesia 2017-06, Vol.39, p.53-56 |
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| creator | Dexter, Franklin, MD, PhD Epstein, Richard H., MD |
| description | Abstract Study objective Multiple studies nationwide and at single hospitals have examined changes over time in the incidence of perioperative red blood cell (RBC) transfusion. However, the cost of RBC transfusions is related to the number of RBC units transfused, not to the incidence. We evaluate whether the readily available incidence of RBC transfusion can be used as a valid surrogate measure. Design Observational retrospective study. Setting One tertiary, academic hospital. Patients 394,789 cases of 1885 procedures over N = 42 quarters of the year. Interventions None. Measurement Incidence and number of RBC units transfused intraoperatively. Main results The number of RBC units transfused per case did not follow a Poisson distribution, confirming that the number of units and incidence of transfusion are not interchangeable for analyzing decisions by case. However, with all cases of each quarter combined, the Spearman correlation was 0.98 ± 0.01 between each quarter's incidence of RBC transfusion and mean RBC units transfused per case ( P < 0.0001). Conclusions For assessment of changes in intraoperative RBC transfusion practices over years, it is sufficient to analyze the pooled incidence of transfusion, rather than to calculate the number of units transfused. |
| doi_str_mv | 10.1016/j.jclinane.2017.03.008 |
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However, the cost of RBC transfusions is related to the number of RBC units transfused, not to the incidence. We evaluate whether the readily available incidence of RBC transfusion can be used as a valid surrogate measure. Design Observational retrospective study. Setting One tertiary, academic hospital. Patients 394,789 cases of 1885 procedures over N = 42 quarters of the year. Interventions None. Measurement Incidence and number of RBC units transfused intraoperatively. Main results The number of RBC units transfused per case did not follow a Poisson distribution, confirming that the number of units and incidence of transfusion are not interchangeable for analyzing decisions by case. However, with all cases of each quarter combined, the Spearman correlation was 0.98 ± 0.01 between each quarter's incidence of RBC transfusion and mean RBC units transfused per case ( P < 0.0001). Conclusions For assessment of changes in intraoperative RBC transfusion practices over years, it is sufficient to analyze the pooled incidence of transfusion, rather than to calculate the number of units transfused.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2017.03.008</identifier><identifier>PMID: 28494908</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Anesthesia ; Anesthesia & Perioperative Care ; Anesthesiology ; Blood ; Blood transfusions ; Epidemiology ; Erythrocyte Transfusion - trends ; Hospitals ; Humans ; Incidence ; Information management ; Intraoperative Care - trends ; Joint surgery ; Pain Medicine ; Patients ; RBC ; Red blood cell transfusion ; Retrospective Studies ; Statistics, Nonparametric ; Studies ; Tertiary Care Centers ; Time Factors ; Trends</subject><ispartof>Journal of clinical anesthesia, 2017-06, Vol.39, p.53-56</ispartof><rights>Elsevier Inc.</rights><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Jun 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-f408bd8ac1ddddbf530e53944858043ff277c0a575e42f0da3ca7d8e9c8d80463</citedby><cites>FETCH-LOGICAL-c451t-f408bd8ac1ddddbf530e53944858043ff277c0a575e42f0da3ca7d8e9c8d80463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1898071379?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28494908$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dexter, Franklin, MD, PhD</creatorcontrib><creatorcontrib>Epstein, Richard H., MD</creatorcontrib><title>For assessment of changes in intraoperative red blood cell transfusion practices over time, the pooled incidence of transfusion correlates highly with total units transfused</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>Abstract Study objective Multiple studies nationwide and at single hospitals have examined changes over time in the incidence of perioperative red blood cell (RBC) transfusion. However, the cost of RBC transfusions is related to the number of RBC units transfused, not to the incidence. We evaluate whether the readily available incidence of RBC transfusion can be used as a valid surrogate measure. Design Observational retrospective study. Setting One tertiary, academic hospital. Patients 394,789 cases of 1885 procedures over N = 42 quarters of the year. Interventions None. Measurement Incidence and number of RBC units transfused intraoperatively. Main results The number of RBC units transfused per case did not follow a Poisson distribution, confirming that the number of units and incidence of transfusion are not interchangeable for analyzing decisions by case. However, with all cases of each quarter combined, the Spearman correlation was 0.98 ± 0.01 between each quarter's incidence of RBC transfusion and mean RBC units transfused per case ( P < 0.0001). Conclusions For assessment of changes in intraoperative RBC transfusion practices over years, it is sufficient to analyze the pooled incidence of transfusion, rather than to calculate the number of units transfused.</description><subject>Adult</subject><subject>Anesthesia</subject><subject>Anesthesia & Perioperative Care</subject><subject>Anesthesiology</subject><subject>Blood</subject><subject>Blood transfusions</subject><subject>Epidemiology</subject><subject>Erythrocyte Transfusion - trends</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Information management</subject><subject>Intraoperative Care - trends</subject><subject>Joint surgery</subject><subject>Pain Medicine</subject><subject>Patients</subject><subject>RBC</subject><subject>Red blood cell transfusion</subject><subject>Retrospective Studies</subject><subject>Statistics, Nonparametric</subject><subject>Studies</subject><subject>Tertiary Care Centers</subject><subject>Time Factors</subject><subject>Trends</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFksFu1DAQhiMEokvhFSpLXDiQMI6TtX1BoIoCUiUOwNny2pPGS9ZebGfRPhTviKNtC-oFy5IP8_0znvmnqi4oNBTo-s222ZrJee2xaYHyBlgDIB5VKyo4q7u-lY-rFci-rQUVcFY9S2kLACVAn1ZnrehkJ0Gsqt9XIRKdEqa0Q59JGIgZtb_BRJwvN0cd9hh1dgckES3ZTCFYYnCaSIn5NMzJBU_2UZvsTJGFA0aS3Q5fkzwi2YcwFZnzxln0BpcK_wpNiBEnnYtydDfjdCS_XB5JDllPZPYup3sc7fPqyaCnhC9u3_Pq-9WHb5ef6usvHz9fvr-uTdfTXA8diI0V2lBbzmboGWDPZNeJXkDHhqHl3IDueY9dO4DVzGhuBUojbAHW7Lx6dcq7j-HnjCmrnUtLz2XeYU6KCikpSL5e0JcP0G2Yoy-_WygBnDIuC7U-USaGlCIOah_dTsejoqAWQ9VW3RmqFkMVMFUMLcKL2_TzZof2XnbnYAHenQAs8zg4jCoZtwzauogmKxvc_2u8fZBioZzR0w88Yvrbj0qtAvV1WatlqyhnAJxJ9geJZs6n</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Dexter, Franklin, MD, PhD</creator><creator>Epstein, Richard H., MD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20170601</creationdate><title>For assessment of changes in intraoperative red blood cell transfusion practices over time, the pooled incidence of transfusion correlates highly with total units transfused</title><author>Dexter, Franklin, MD, PhD ; Epstein, Richard H., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-f408bd8ac1ddddbf530e53944858043ff277c0a575e42f0da3ca7d8e9c8d80463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Anesthesia</topic><topic>Anesthesia & Perioperative Care</topic><topic>Anesthesiology</topic><topic>Blood</topic><topic>Blood transfusions</topic><topic>Epidemiology</topic><topic>Erythrocyte Transfusion - trends</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Incidence</topic><topic>Information management</topic><topic>Intraoperative Care - trends</topic><topic>Joint surgery</topic><topic>Pain Medicine</topic><topic>Patients</topic><topic>RBC</topic><topic>Red blood cell transfusion</topic><topic>Retrospective Studies</topic><topic>Statistics, Nonparametric</topic><topic>Studies</topic><topic>Tertiary Care Centers</topic><topic>Time Factors</topic><topic>Trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dexter, Franklin, MD, PhD</creatorcontrib><creatorcontrib>Epstein, Richard H., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dexter, Franklin, MD, PhD</au><au>Epstein, Richard H., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>For assessment of changes in intraoperative red blood cell transfusion practices over time, the pooled incidence of transfusion correlates highly with total units transfused</atitle><jtitle>Journal of clinical anesthesia</jtitle><addtitle>J Clin Anesth</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>39</volume><spage>53</spage><epage>56</epage><pages>53-56</pages><issn>0952-8180</issn><eissn>1873-4529</eissn><abstract>Abstract Study objective Multiple studies nationwide and at single hospitals have examined changes over time in the incidence of perioperative red blood cell (RBC) transfusion. However, the cost of RBC transfusions is related to the number of RBC units transfused, not to the incidence. We evaluate whether the readily available incidence of RBC transfusion can be used as a valid surrogate measure. Design Observational retrospective study. Setting One tertiary, academic hospital. Patients 394,789 cases of 1885 procedures over N = 42 quarters of the year. Interventions None. Measurement Incidence and number of RBC units transfused intraoperatively. Main results The number of RBC units transfused per case did not follow a Poisson distribution, confirming that the number of units and incidence of transfusion are not interchangeable for analyzing decisions by case. However, with all cases of each quarter combined, the Spearman correlation was 0.98 ± 0.01 between each quarter's incidence of RBC transfusion and mean RBC units transfused per case ( P < 0.0001). Conclusions For assessment of changes in intraoperative RBC transfusion practices over years, it is sufficient to analyze the pooled incidence of transfusion, rather than to calculate the number of units transfused.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28494908</pmid><doi>10.1016/j.jclinane.2017.03.008</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Anesthesia Anesthesia & Perioperative Care Anesthesiology Blood Blood transfusions Epidemiology Erythrocyte Transfusion - trends Hospitals Humans Incidence Information management Intraoperative Care - trends Joint surgery Pain Medicine Patients RBC Red blood cell transfusion Retrospective Studies Statistics, Nonparametric Studies Tertiary Care Centers Time Factors Trends |
| title | For assessment of changes in intraoperative red blood cell transfusion practices over time, the pooled incidence of transfusion correlates highly with total units transfused |
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