Blueprint to reduce wasteful blood transfusions

(Johns Hopkins Medicine) By analyzing data from randomized clinical trials comparing blood transfusion approaches, Johns Hopkins experts, along with colleagues at Cleveland Clinic and NYU Langone Medical Center, endorse recommendations for blood transfusions that reduce blood use to improve patient safety and outcomes. Publishing this week in JAMA Internal Medicine, the report also provides a how-to guide for launching a patient blood management program.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news

Related Links:

What We Already Know about This TopicNeuraxial anesthesia is being used more frequently for elective hip and knee replacementsIt is unclear whether increasing rates of hospital-level use of neuraxial anesthesia are associated with beneficial medical or economic outcomesWhat This Article Tells Us That Is NewNational administrative data demonstrate that increasing frequency of neuraxial anesthesia use is not associated with improved clinical outcomesHowever, hospitals using neuraxial anesthesia frequently did observe a decrease in inpatient costs compared to hospitals that did not use neuraxial anesthesia at allBackground Ne...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
CONCLUSIONS: Reduction in vascular complications is an important part of improving care for TAVI patients. The Solopath vascular access device offers an alternative to standard sheaths with a potential reduction in complications and cost-savings. PMID: 30099924 [PubMed - as supplied by publisher]
Source: Journal of Medical Economics - Category: Health Management Tags: J Med Econ Source Type: research
Source: European Journal of Orthopaedic Surgery and Traumatology - Category: Orthopaedics Source Type: research
AbstractAcute coronary syndrome (ACS) encompasses a range of thrombotic coronary artery diseases. Protein Z (PZ)/PZ-dependent protease inhibitor complex is a natural anticoagulant system with a presumptive role for PZ deficiency in the pathogenesis of ACS. We aimed to evaluate plasma PZ level and role as a risk biomarker in Egyptian patients with ACS. Hundred patients with stable ACS and 60 matched controls were enrolled. ACS patients were divided into 3 clinical subgroups (ST-segment elevation myocardial infarction, non-ST-segment elevation myocardial infarction, and unstable angina), and 2 age subgroups (group A  ...
Source: Indian Journal of Hematology and Blood Transfusion - Category: Hematology Source Type: research
We describe outcomes in transplants with non-sibling family donors, and compare outcomes with controls having a sibling donor transplant. Retrospective analysis of all matched related (non-sibling) donor transplants between 1995 and 2015. For comparison, appropriate age, sex and disease-matched patients were chosen from the sibling transplants (MSD) performed during the same time period ( ± 2 years). Comparison between the fully matched non-sibling donor cohort and age, sex and disease-matched sibling donor transplants showed a significant increase in complications in the family donor group (viral infect...
Source: Indian Journal of Hematology and Blood Transfusion - Category: Hematology Source Type: research
Source: Indian Journal of Hematology and Blood Transfusion - Category: Hematology Source Type: research
CONCLUSIONS: Patients having Glutathione S-transferase M1 allele and Apolipoprotein E E2 allele are predisposed to oxidative stress-induced cardiac injury. PMID: 30095041 [PubMed - as supplied by publisher]
Source: Hematology - Category: Hematology Tags: Hematology Source Type: research
We describe here the case of a MitraClip implantation performed under deep sedation with ketamine and propofol infusion in a patient unsuitable for surgical repair because of her comorbidities.ResumoA implantação percutânea de MitraClip é feita através de um dispositivo tipo catéter concebido para reparar a zona central das duas cúspides da valva mitral insuficiente, como procedimento alternativo em doentes de alto risco cirúrgico, com uma insuficiência mitral severa sintomática, que não são adequados ou são recusados para repara&ccedi...
Source: Revista Portuguesa de Cardiologia - Category: Cardiology Source Type: research
Authors: Abdella Y, Riedner G, Hajjeh R, Sibinga CTS PMID: 30079955 [PubMed - in process]
Source: Eastern Mediterranean Health Journal - Category: Middle East Health Tags: East Mediterr Health J Source Type: research
ConclusionsLLR is safe and feasible in the CL compared with the NCL groups. Our present review indicates that LLR should be considered when selecting surgery for patients with CL.
Source: Clinics and Research in Hepatology and Gastroenterology - Category: Gastroenterology Source Type: research
More News: Blood Transusion | Clinical Trials | Internal Medicine | International Medicine & Public Health