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Improved Cost-Effectiveness and Blood Product Utilization From Instituting a Blood Ordering Algorithm for Cardiac

Kelly Ural1, Jay Trusheim1, Yamah Amiri2

  • 11 Ochsner Health System, New Orleans, LA, USA.

Seminars in Cardiothoracic and Vascular Anesthesia
|May 24, 2018
PubMed

Insights

A new blood ordering algorithm significantly reduced unnecessary blood crossmatching in cardiac surgery patients. This improved the crossmatch-to-transfusion ratio and resulted in substantial cost savings.

Area of Science:

  • Transfusion Medicine
  • Cardiac Surgery
  • Healthcare Management

Background:

  • Previous study identified over-ordering of blood products for cardiac surgery.
  • A novel blood ordering algorithm was developed to address this issue.
  • This study evaluates the algorithm's impact on ordering practices.

Purpose of the Study:

  • To assess the effectiveness of a new blood ordering algorithm.
  • To evaluate improvements in blood product ordering practices post-algorithm implementation.
  • To determine cost savings associated with optimized blood ordering.

Main Methods:

  • Retrospective data analysis of 171 patients undergoing cardiac surgery (coronary artery bypass grafting or valve surgery).
  • Data collected from March 2015 to March 2016.
  • Calculation of crossmatch-to-transfusion ratio (C:tx) and cost savings; comparison with pre-algorithm data.

Main Results:

  • Pre-algorithm: 100% of patients crossmatched; Post-algorithm: 15% crossmatched.
  • Overall C:tx decreased from 7.97 to 2.14.
  • Calculated cost savings of $114.79 per CABG patient and $129.05 per valve surgery patient.

Conclusions:

  • The new algorithm significantly improved the C:tx.
  • Implementation of the algorithm reduced unnecessary blood crossmatching.
  • The algorithm led to a reduction in healthcare costs for cardiac surgery.
Abstract

Keywords:
blood losscardiac surgerycardiopulmonary bypasstransfusion

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