A value-based approach to optimize red blood cell transfusion in patients receiving extracorporeal membrane oxygenation.

Yasuhiro ShudoNathalie ChengHao HeCorinne RosenbergWilliam HiesingerEric HadhazyJohn ShepardPurnima KrishnaJosh ResnikRobyn FongCharles HillJoe L HsuPaul M MaggioSang-Ick ChangJack H BoydY Joseph Woo

Published in: Perfusion (2022)

As an institution-driven value-based approach to guide transfusion in patients undergoing ECMO, we lowered the threshold HGB level. Validation of this revised intervention demonstrated excellent compliance and reduced the need for RBC transfusion while maintaining the clinical outcome. Our findings can help reform value-based healthcare in this cohort while maintaining the outcome.

Keyphrases

extracorporeal membrane oxygenation
red blood cell
acute respiratory distress syndrome
cardiac surgery
healthcare
patients undergoing
respiratory failure
sickle cell disease
randomized controlled trial
acute kidney injury
mechanical ventilation
intensive care unit