Journal article
National trends and variability in blood utilization in paediatric cardiac surgery
Interactive cardiovascular and thoracic surgery, Vol.24(6), pp.938-943
06/01/2017
DOI: 10.1093/icvts/ivw439
PMID: 28369475
Abstract
Red blood cell transfusion is a common practice in paediatric cardiac surgery. Transfusion of red blood cells has been shown to be associated with an increase in morbidity in paediatric patients undergoing cardiac surgery. There is a huge variability in the practice of blood utilization within and across different practices. The aim of this study was to demonstrate the current variability and the trends over the past decade in blood usage among children's hospitals performing paediatric cardiac surgery.
We performed a retrospective observational cohort study using the Paediatric Health Information System database from 43 participating paediatric hospitals in the USA. All discharge billing information for patients younger than 19 years of age who underwent cardiac surgery using cardiopulmonary bypass between 2005 and 2015 was investigated. Ten index diagnoses and procedures were investigated and analysed, based on age differences and on the Society of Thoracic Surgeon & European Association for Cardio-Thoracic Surgery mortality scores. Our main outcome variable was the unit(s) of homologous red blood cells charged for the first 24 h of admission for cardiac surgery.
There was significant variability in red blood cell usage for a given diagnosis and procedural code across all the centres despite varied age ranges and complexity scores for the current and the last decade of paediatric cardiac surgical patients.
We found a discernible variability in the current practice of blood utilization for a given procedure despite variability in the age and complexity of patients, with no changes in practice patterns for the last decade of paediatric cardiac surgery.
Details
- Title: Subtitle
- National trends and variability in blood utilization in paediatric cardiac surgery
- Creators
- Mohsen Karimi - Yale UniversityJill M Sullivan - Connecticut Children's Medical CenterTrudy Lerer - Connecticut Children's Medical CenterCarla Hronek - Children's Hospital Association
- Resource Type
- Journal article
- Publication Details
- Interactive cardiovascular and thoracic surgery, Vol.24(6), pp.938-943
- DOI
- 10.1093/icvts/ivw439
- PMID
- 28369475
- ISSN
- 1569-9293
- eISSN
- 1569-9285
- Language
- English
- Date published
- 06/01/2017
- Academic Unit
- Cardiothoracic Surgery
- Record Identifier
- 9984557949102771
Metrics
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