TY - JOUR
T1 - Blood Transfusion and Blood Conservation
T2 - Cost and Utilization Issues
AU - Goodnough, Lawrence Tim
AU - Bodner, Mathew S.
AU - Martin, Jeffery W.
PY - 1994/12
Y1 - 1994/12
N2 - Approximately 12 million red blood cell units are transfused to nearly 4 million patients annually in the United States (1). The conservation of blood has historically arisen from awareness that the inventory of this resource is limited (2), as well as the knowledge that blood transfusion carries a risk (3). Estimates of current blood transfusion risks (4- 12), and the costs of transfusion complications (13—17), are summa rized in Table 1. In addition, emphasis on the costs of health care has raised issues related to the costs of blood transfusion (18, 19). Finally, recent guidelines have emphasized that in the elective transfusion set ting, no blood transfusion is a desirable outcome (20, 21). Furthermore, these guidelines along with consen sus conference recommendations (22) have emphasized that if blood is to be transfused, autologous (the pa tient’s own) blood is preferable to allogeneic (from an anonymous, volunteer donor) blood. Thus, the costs of blood conservation, for which an increasing array of technologic procedures and products have become available (Table 2), have also become an issue (23). The purpose of this review is to provide an overview of emerging data on the cost-effectiveness of blood and blood conservation interventions in order to help iden tify areas important for future investigation.
AB - Approximately 12 million red blood cell units are transfused to nearly 4 million patients annually in the United States (1). The conservation of blood has historically arisen from awareness that the inventory of this resource is limited (2), as well as the knowledge that blood transfusion carries a risk (3). Estimates of current blood transfusion risks (4- 12), and the costs of transfusion complications (13—17), are summa rized in Table 1. In addition, emphasis on the costs of health care has raised issues related to the costs of blood transfusion (18, 19). Finally, recent guidelines have emphasized that in the elective transfusion set ting, no blood transfusion is a desirable outcome (20, 21). Furthermore, these guidelines along with consen sus conference recommendations (22) have emphasized that if blood is to be transfused, autologous (the pa tient’s own) blood is preferable to allogeneic (from an anonymous, volunteer donor) blood. Thus, the costs of blood conservation, for which an increasing array of technologic procedures and products have become available (Table 2), have also become an issue (23). The purpose of this review is to provide an overview of emerging data on the cost-effectiveness of blood and blood conservation interventions in order to help iden tify areas important for future investigation.
UR - http://www.scopus.com/inward/record.url?scp=0028710676&partnerID=8YFLogxK
U2 - 10.1177/0885713X9400900408
DO - 10.1177/0885713X9400900408
M3 - Article
C2 - 7819825
AN - SCOPUS:0028710676
VL - 9
SP - 172
EP - 183
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
SN - 1062-8606
IS - 4
ER -