Yıl: 2019 Cilt: 30 Sayı: 4 Sayfa Aralığı: 331 - 336 Metin Dili: İngilizce DOI: 0.14744/scie.2019.31032

The Effects of the Multidisciplinary Team Approach on Blood Transfusion

Öz:
Objective: The Joint Commission and the American Medical Association-Convened Physician Consortium for Performance Improvement reported that the blood transfusions areamong the top five overused treatments in modern medicine. Optimal management of bloodtransfusion is one of the most important factors that increase patient safety, and specialeducation 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 changeconcerning years was determined, as well as side effects and complications associated withtransfusion. Patients’ cardiac reserves, laboratory values, anticoagulant drug use frequency,transfused blood volume, complications and mortality rates were recorded. The types ofsurgery, reexploration rate, length of intensive care and hospital stay were recorded.Results: Patients’ age, BMI, comorbidity ratio and antimicrobial drug use did not differbetween 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 timein 2016, were significantly higher (p<0.05) than in 2014 and 2015. The amount of bloodtransfusion did not differ significantly (p>0.05). Besides, after 2014, an increase was observedin platelet transfusion. The change in Hb, Htc, platelet and INR did not differ significantly inthe pre-postoperative period.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 challengesin sufficiently transferring the knowledge to the clinical environment.
Anahtar Kelime:

Multidisipliner Ekip Yaklaşımının Kan Transfüzyonu Üzerine Etkileri

Öz:
Amaç: Birleşik Komisyon ve Amerikan Tabipler Birliği tarafından toplanan Performans İyileştirme Konsorsiyumu, kan transfüzyonlarının modern tıbbın ilk beş aşırı kullanımı arasında olduğunu bildirmiştir. Kan transfüzyonunun optimal yönetimi, hasta güvenliğini artıran en önemli faktörlerden biridir ve bu anlamda tüm dünyada özel eğitimler artmaktadır. Bu geriye dönük kohort çalışmasında amacımız, periyodik konsensus toplantılarının ve perioperatif kan transfüzyonu üzerine yapılan eğitimin, farklı tıp dallarından oluşan bir ekip tarafından araştırılmasıdır. Gereç ve Yöntem: Kan transfüzyonu gereksinimi bulunan, kalp cerrahisi geçiren 18 yaş üstü hastalar çalışmaya dahil edildi. Transfüzyonlar kümülatif olarak hesaplandı, yıllara göre değişim, yan etkiler ve transfüzyon ile ilişkili komplikasyonlar belirlendi. Hastaların kardiyak rezervleri, laboratuvar değerleri, antikoagülan ilaç kullanım sıklığı, transfüzyon miktarı, komplikasyonlar ve mortalite oranları kaydedildi. Ameliyat tipleri, revizyon oranı, yoğun bakım süresi ve hastanede kalış süresi kaydedildi. Bulgular: Hastaların yaş, VKİ, komorbidite oranı, antimikrobiyal ilaç kullanımı yıllara göre farklılık göstermemiştir (p>0.05). Yoğun bakım ve hastanede kalış süresi, kanama miktarı ve mortalite oranı istatistiksel olarak farklı değildi (p>0.05). 2016 yılında CBP ve CX zamanı, 2014 ve 2015’e göre anlamlı olarak daha yüksekti (p<0.05). Kan transfüzyonu miktarı anlamlı olarak farklılık göstermedi (p>0.05). Ayrıca 2014 sonrası trombosit transfüzyonunda artış gözlendi. Ameliyat öncesi dönemde Hb, Htc, trombosit ve INR’deki değişiklik anlamlı olarak farklılık göstermedi. Sonuç: Çalışmamızda restriktif kan ürünü kullanımı ile ilgili eğitimin kan transfüzyonu üzerinde pozitif bir etkiye sahip olmadığı gösterilmiştir. Bilginin klinik ortama yeterince aktarılması konusunda zorluklar olduğu ortaya konulmuştur.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA SARAÇOĞLU A, EZELSOY M, ORDU A, SARAÇOĞLU K (2019). The Effects of the Multidisciplinary Team Approach on Blood Transfusion. Southern Clinics of Istanbul Eurasia, 30(4), 331 - 336. 0.14744/scie.2019.31032
Chicago SARAÇOĞLU Ayten,EZELSOY Mehmet,ORDU Aylin,SARAÇOĞLU Kemal Tolga The Effects of the Multidisciplinary Team Approach on Blood Transfusion. Southern Clinics of Istanbul Eurasia 30, no.4 (2019): 331 - 336. 0.14744/scie.2019.31032
MLA SARAÇOĞLU Ayten,EZELSOY Mehmet,ORDU Aylin,SARAÇOĞLU Kemal Tolga The Effects of the Multidisciplinary Team Approach on Blood Transfusion. Southern Clinics of Istanbul Eurasia, vol.30, no.4, 2019, ss.331 - 336. 0.14744/scie.2019.31032
AMA SARAÇOĞLU A,EZELSOY M,ORDU A,SARAÇOĞLU K The Effects of the Multidisciplinary Team Approach on Blood Transfusion. Southern Clinics of Istanbul Eurasia. 2019; 30(4): 331 - 336. 0.14744/scie.2019.31032
Vancouver SARAÇOĞLU A,EZELSOY M,ORDU A,SARAÇOĞLU K The Effects of the Multidisciplinary Team Approach on Blood Transfusion. Southern Clinics of Istanbul Eurasia. 2019; 30(4): 331 - 336. 0.14744/scie.2019.31032
IEEE SARAÇOĞLU A,EZELSOY M,ORDU A,SARAÇOĞLU K "The Effects of the Multidisciplinary Team Approach on Blood Transfusion." Southern Clinics of Istanbul Eurasia, 30, ss.331 - 336, 2019. 0.14744/scie.2019.31032
ISNAD SARAÇOĞLU, Ayten vd. "The Effects of the Multidisciplinary Team Approach on Blood Transfusion". Southern Clinics of Istanbul Eurasia 30/4 (2019), 331-336. https://doi.org/0.14744/scie.2019.31032