Risk-adjusted clinical outcomes in patients enrolled in a bloodless program.

ABSTRACT:

Background

Although clinical outcomes have been reported for patients who do not accept allogeneic blood transfusion (ABT), many previous studies lack a control group, fail to use risk adjustment, and focus exclusively on cardiac surgery.

Study design and methods

We report a risk-adjusted, propensity score-matched, retrospective case-control study of clinical outcomes for inpatients who did not accept ABT (bloodless, n = 294) and those who did accept ABT (control, n = 1157). Multidisciplinary specialized care was rendered to the bloodless patients to conserve blood and optimize clinical outcomes. Differences in hemoglobin (Hb), mortality, five morbid outcomes, and hospital charges and costs were compared. Subgroups of medical and surgical patients were analyzed, and independ

SUBMITTER: Frank SM 

PROVIDER: S-EPMC4234090 | biostudies-literature | 2014 Oct

REPOSITORIES: biostudies-literature