The association of perioperative transfusion with 30-day morbidity and mortality in patients undergoing major vascular surgery Andrea T. Obi, MD, Yeo.

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The association of perioperative transfusion with 30-day morbidity and mortality in patients undergoing major vascular surgery Andrea T. Obi, MD, Yeo Jung Park, PhD, Paul Bove, MD, Robert Cuff, MD, Andris Kazmers, MD, MSPH, Hitinder S. Gurm, MD, P. Michael Grossman, MD, Peter K. Henke, MD Journal of Vascular Surgery Volume 61, Issue 4, Pages 1000-1009.e1 (April 2015) DOI: 10.1016/j.jvs.2014.10.106 Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 1 Flow chart of inclusion and exclusion of patients among the discharge records collected in the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2) vascular surgery (VSURG) registry. Journal of Vascular Surgery 2015 61, 1000-1009.e1DOI: (10.1016/j.jvs.2014.10.106) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 2 Rate of patients who received transfusion postoperatively and median nadir hemoglobin (Hgb) level in each Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2) participating hospital (blinded). Nondocumented nadir Hgb levels were excluded. A red dotted horizontal line is at the median of postoperative transfusion (16%). Journal of Vascular Surgery 2015 61, 1000-1009.e1DOI: (10.1016/j.jvs.2014.10.106) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 3 Ratio of observed to expected (OE) number of transfusions for each hospital (blinded) and 95% confidence interval of the ratio. A horizontal line is at OE ratio = 1. Journal of Vascular Surgery 2015 61, 1000-1009.e1DOI: (10.1016/j.jvs.2014.10.106) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 4 Density plot of estimated blood loss by patients who received postoperative transfusion vs patients who did not receive the transfusion. Journal of Vascular Surgery 2015 61, 1000-1009.e1DOI: (10.1016/j.jvs.2014.10.106) Copyright © 2015 Society for Vascular Surgery Terms and Conditions