PMID: 16644607Apr 29, 2006Paper

Resource utilization and costs of blood management services associated with knee and hip surgeries in US hospitals

Advances in Therapy
Christopher M BlanchetteWilliam B Saunders

Abstract

This article assesses the use and costs of blood transfusion during knee and hip surgery through a retrospective observational study of 92,223 discharged inpatients who had undergone knee or hip surgery from July 1, 2003, through June 30, 2004; a sample of US hospitals that participated in the Perspective Comparative Database (Premier Inc., Charlotte, NC) was used. Descriptive and multivariate analyses were performed to determine the use and costs of allogeneic blood transfusion (ABT). The average cost of ABT per user ranged from $387 (SD=$952) for red blood cells to $6585 (SD=$11,162) for cryoprecipitate. Utilization rates in the sample were as follows: antifibrinolytics, 0.14%; topical sealants, 3.24%; volume expanders, 3.89%; erythropoietin agents, 5.08%; and hypotensive anesthesia, 22.28%. Patients who were given volume expanders ($133.73, SD=$23.00, P<.01) or erythropoietin ($177.72, SD=$34.61, P<.01) had higher costs associated with ABT than did those who did not use volume expanders or erythropoietin. Patients who received hypotensive anesthesia (odds ratio [OR]=1.96; 95% confidence interval [CI], 1.87-2.06), a volume expander (OR=1.71; 95% CI, 1.57- 1.85), a topical sealant (OR=1.61; 95% CI, 1.45-1.79), or an erythropoi...Continue Reading

References

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Citations

Apr 6, 2013·Regional Anesthesia and Pain Medicine·Stavros G MemtsoudisMadhu Mazumdar
Mar 15, 2012·Journal of Clinical Anesthesia·Carolyn Hyatt Sherman, Duncan C Macivor
Jan 13, 2012·Transfusion Medicine Reviews·Torunn Oveland ApelsethNancy M Heddle
Jan 24, 2012·The Journal of Arthroplasty·R Carter ClementGwo-Chin Lee
Feb 23, 2010·The Journal of Arthroplasty·John A BatsisJeanne M Huddleston
Apr 9, 2017·Clinical Orthopaedics and Related Research·Thomas J ParisiHany S Bedair
Jun 12, 2013·Journal of Intensive Care Medicine·Stavros G MemtsoudisJ Matthias Walz
May 7, 2009·The Annals of Pharmacotherapy·Michael H KimDavid S Battleman
Nov 6, 2018·Health Services Research·Lindsey M PhilpotJon O Ebbert
Mar 20, 2014·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Arun ChangolkarEileen Farrelly
Nov 9, 2007·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Andrew F ShorrEileen Farrelly
Sep 19, 2018·Mayo Clinic Proceedings. Innovations, Quality & Outcomes·Meghan A KnoedlerJon O Ebbert

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