The Effects of the Multidisciplinary Team Approach on Blood Transfusion

• Main Authors: Ayten Saraçoğlu, Mehmet Ezelsoy, Aylin Ordu, Kemal Tolga Saraçoğlu
• Format: Article
• Language: English
• Published: KARE Publishing 2019-12-01
• Series: Southern Clinics of Istanbul Eurasia
• Subjects: blood transfusion; cardiac surgical procedures; education.
• Online Access: https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-31032

INTRODUCTION[|]The Joint Commission and the American Medical Association-Convened Physician Consortium for Performance Improvement reported that the blood transfusions are among the top five overused treatments in modern medicine. Optimal management of blood transfusion is one of the most important factors that increase patient safety, and special education is increasing all over the world in this regard. In this retrospective cohort study, our goal was to investigate the effects of periodic consensus meetings and training on perioperative blood transfusion by a team of different branches of medicine.[¤]METHODS[|]Patients over the age of 18 undergoing cardiac surgery and required blood transfusion were included in this study. The transfusions were calculated cumulatively; the change concerning years was determined, as well as side effects and complications associated with transfusion. Patients' cardiac reserves, laboratory values, anticoagulant drug use frequency, transfused blood volume, complications and mortality rates were recorded. The types of surgery, reexploration rate, length of intensive care and hospital stay were recorded.[¤]RESULTS[|]Patients' age, BMI, comorbidity ratio and antimicrobial drug use did not differ between years (p>0.05). The length of intensive care and hospital stay, amount of bleeding, mortality rate did not differ (p> 0.05). Cardiopulmonary Bypass time and Cross Clamp time in 2016, were significantly higher (p<0.05) than in 2014 and 2015. The amount of blood transfusion did not differ significantly (p>0.05). Besides, after 2014, an increase was observed in platelet transfusion. The change in Hb, Htc, platelet and INR did not differ significantly in the pre-postoperative period.[¤]DISCUSSION AND CONCLUSION[|]Training on the restrictive use of blood products did not have a positive influence on blood transfusion in our study. It has been demonstrated that there are challenges in sufficiently transferring the knowledge to the clinical environment.[¤]