TY  - JOUR
TI  - The Effects of the Multidisciplinary Team Approach on Blood Transfusion
AB  - 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.
AU  - ORDU, Aylin
AU  - SARAÇOĞLU, Kemal Tolga
AU  - SARAÇOĞLU, Ayten
AU  - EZELSOY, Mehmet
DO  - 0.14744/scie.2019.31032
PY  - 2019
JO  - Southern Clinics of Istanbul Eurasia
VL  - 30
IS  - 4
SN  - 2587-0998
SP  - 331
EP  - 336
DB  - TRDizin
UR  - http://search/yayin/detay/367927
ER  -