Effect of a Patient Blood Management system on perioperative transfusion practice and short-term outcomes of colorectal cancer surgery
DC Field | Value | Language |
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dc.contributor.author | Shin, Seon Hui | - |
dc.contributor.author | Piozzi, Guglielmo N. | - |
dc.contributor.author | Kwak, Jung-Myun | - |
dc.contributor.author | Baek, Se Jin | - |
dc.contributor.author | Kim, Jin | - |
dc.contributor.author | Kim, Seon Hahn | - |
dc.date.accessioned | 2023-01-16T00:40:03Z | - |
dc.date.available | 2023-01-16T00:40:03Z | - |
dc.date.issued | 2022-11 | - |
dc.identifier.issn | 1723-2007 | - |
dc.identifier.issn | 2385-2070 | - |
dc.identifier.uri | https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/62099 | - |
dc.description.abstract | Background Patients undergoing colorectal cancer surgery may require a blood transfusion. However, blood transfusions are associated with postoperative complications and long-term oncologic outcomes. Patient blood management (PBM) is an evidence-based multimodal approach for blood transfusion optimisation. We sought to investigate the effects of PBM implementation in blood transfusion practice and on short-term postoperative outcomes. Materials and methods This study retrospectively reviewed data from 2,080 patients who had undergone colorectal cancer surgery at a single centre from 2015 to 2020. PBM was implemented in 2018, and outcomes were compared between the pre-PBM (2015-2017) and the post-PBM (2018-2020) periods. Results A total of 951 patients in the pre-PBM group and 1,129 in the post-PBM group were included. The transfusion rate of the total number of packed red blood cells (PRBCs) used decreased after PBM implementation (16.3 vs 8.3%; p<0.001). The rate of appropriately transfused PRBCs increased from the pre-PBM period to the post-PBM period (42 vs 67%; p<0.001). There was no significant difference in rates of complications between the two groups (23.0 vs 21.5%; p=0.412); however, a reduction in both anastomosis leakage (5.8 vs 3.7%; p=0.026) and the length of stay after surgery (LOS) (10.3±11.2 vs 8.2±5.7 days; p<0.001) was reported after PBM implementation. Discussion The PBM programme optimised the transfusion rate in patients undergoing colorectal cancer surgery. Implementation of the PBM programme had a positive effect on postoperative length of stay and anastomosis leakage while no increase in the risk of other complications was reported. | - |
dc.format.extent | 8 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | BioMed Central | - |
dc.title | Effect of a Patient Blood Management system on perioperative transfusion practice and short-term outcomes of colorectal cancer surgery | - |
dc.type | Article | - |
dc.publisher.location | 이탈리아 | - |
dc.identifier.doi | 10.2450/2022.0328-21 | - |
dc.identifier.scopusid | 2-s2.0-85139519457 | - |
dc.identifier.wosid | 000893214400006 | - |
dc.identifier.bibliographicCitation | Blood Transfusion, v.20, no.6, pp 475 - 482 | - |
dc.citation.title | Blood Transfusion | - |
dc.citation.volume | 20 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 475 | - |
dc.citation.endPage | 482 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Hematology | - |
dc.relation.journalWebOfScienceCategory | Hematology | - |
dc.subject.keywordPlus | CELL TRANSFUSION | - |
dc.subject.keywordPlus | POSTOPERATIVE OUTCOMES | - |
dc.subject.keywordPlus | PREOPERATIVE ANEMIA | - |
dc.subject.keywordPlus | ONCOLOGIC OUTCOMES | - |
dc.subject.keywordPlus | RESECTION | - |
dc.subject.keywordPlus | RECURRENCE | - |
dc.subject.keywordPlus | REDUCTION | - |
dc.subject.keywordPlus | SURVIVAL | - |
dc.subject.keywordPlus | MORTALITY | - |
dc.subject.keywordPlus | DISEASE | - |
dc.subject.keywordAuthor | Patient Blood Management | - |
dc.subject.keywordAuthor | transfusion | - |
dc.subject.keywordAuthor | colorectal cancer surgery | - |
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