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The impact of a multidisciplinary blood conservation protocol on patient outcomes and cost after cardiac surgery  Niv Ad, MD, Sari D. Holmes, PhD, Jay.

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Presentation on theme: "The impact of a multidisciplinary blood conservation protocol on patient outcomes and cost after cardiac surgery  Niv Ad, MD, Sari D. Holmes, PhD, Jay."— Presentation transcript:

1 The impact of a multidisciplinary blood conservation protocol on patient outcomes and cost after cardiac surgery  Niv Ad, MD, Sari D. Holmes, PhD, Jay Patel, BS, Deborah J. Shuman, BS, Paul S. Massimiano, MD, Elmer Choi, MD, David Fitzgerald, CCP, Linda Halpin, RN, MSN, Lisa M. Fornaresio, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 153, Issue 3, Pages e1 (March 2017) DOI: /j.jtcvs Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Flow diagram of institutional blood conservation protocol. RBC, Red blood cell; Hgb, hemoglobin; HCT, hematocrit; SVO2, venous blood oxygen saturation; HCO3, bicarbonate. Reprinted with permission from Ad N, Massimiano PS, Burton NA, Halpin L, Pritchard G, Shuman DJ, Holmes SD. Effect of patient age on blood product transfusion after cardiac surgery. J Thorac Cardiovasc Surg. 2015;150: The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Kaplan–Meier 1-year survival curves comparing patients undergoing cardiac surgery in 2009 with patients in 2006 (Y axis scale truncated to ; log-rank = 0.03, P = .859). CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Incidence of blood product transfusion over time before and after implementation of the institutional blood administration protocol. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

5 Figure 4 Incidence of blood product transfusion over time by surgery group after implementation of the institutional blood administration protocol. CABG, Coronary artery bypass grafting. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

6 Figure E1 Jitter plot demonstrating the distribution of propensity scores for 2009 (treatment units) and 2006 (control units). The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

7 Incidence of blood product transfusion before and after implementation of blood protocol.
The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

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