Cost Savings of Whole Blood Versus Component Therapy at a Community Level 1 Trauma Center.
Am Surg
; 90(9): 2156-2159, 2024 Sep.
Article
en En
| MEDLINE
| ID: mdl-38591174
ABSTRACT
BACKGROUND:
Blood product component-only resuscitation (CORe) has been the standard of practice in both military and civilian trauma care with a 111 ratio used in attempt to recreate whole blood (WB) until recent data demonstrated WB to confer a survival advantage, leading to the emergence of WB as the contemporary resuscitation strategy of choice. Little is known about the cost and waste reduction associated with WB vs CORe.METHODS:
This study is a retrospective single-center review of adult trauma patients admitted to a community trauma center who received WB or CORe as part of their massive transfusion protocol (MTP) resuscitation from 2017 to 2021. The WB group received a minimum of one unit WB while CORe received no WB. Univariate and multivariate analyses were completed. Statistical analysis was conducted using a 95% confidence level. Non-normally distributed, continuous data were analyzed using the Wilcoxon rank sum test.RESULTS:
576 patients were included (201 in WB and 375 in CORe). Whole blood conveyed a survival benefit vs CORe (OR 1.49 P < .05, 1.02-2.17). Whole blood use resulted in an overall reduction in products prepared (25.8%), volumes transfused (16.5%), product waste (38.7%), and MTP activation (56.3%). Cost savings were $849 923 annually and $3 399 693 over the study period.DISCUSSION:
Despite increased patient volumes over the study period (43.7%), the utilization of WB as compared to CORe resulted in an overall $3.39 million cost savings while improving mortality. As such, we propose WB should be utilized in all resuscitation strategies for the exsanguinating trauma patient.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Resucitación
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Centros Traumatológicos
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Transfusión Sanguínea
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Ahorro de Costo
/
Transfusión de Componentes Sanguíneos
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Am Surg
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos