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2000, Number 2

Rev Mex Anest 2000; 23 (2)

Transfusion blood expenses

Sánchez AS, González NP, Alvarez VJC
Full text How to cite this article

Language: Spanish
References: 9
Page: 66-70
PDF size: 862.90 Kb.


Key words:

Anesthesia, pharmacoeconomics, blood transfusion.

ABSTRACT

Background and Objectives: anesthesiologists administer two thirds of the total transfusions made in the perioperative period, and it has been shown that 26% of these were not correctly indicated. Despite expensive laboratory tests, transfusional therapy is still associated with risks that include transfusional reactions, non-a non-b hepatitis, HIV infection and a decrease in immune response that has been related with cancer recurrence and postoperative infection. The purpose of this study was to know and compare the actual cost of a red blood cell transfusion and blood products, between an institutional hospital and a private hospital. Material and Methods: All the data were obtained from blood donate point from both hospitals. They were given by social worker personnel in the institutional hospital and by the head of service in the private hospital. Results: the actual total cost of a transfusion service by the administration of a red blood cells unit and its sub products is about $1,750.00 in Mexico's General Hospital, against $5,235.25 in the private hospital, including charge from the donor's arrival to the blood donate point until the transfusion, generating a difference of approximately $3,485.25. Conclusions Blood therapy and its products generate costs and have a great economic impact in the medical-surgical field. The anesthesiologists must have knowledge about the cost-benefit, and applied the different blood saving techniques, to minimize the costs in anesthetic practice.


REFERENCES

  1. Allan SR Jr. Administrative Manual Vol I, II, III; American Association of Blood Banks. 1996,140-200

  2. National lnstitutes of Health Consensus Conference. Perioperative red cell transfusión. JAMA 1998:260:2700-03. 3. lnformación Banco de Sangre. Archivo Hospital General de México, O.D.

  3. Información Banco de Sangre. Archivo Hospital Privado.

  4. Lubarki AD, Hahn C. The hospital cost (Fiscal Year 1991-1992) of a Simple perioperative allogenic red blood cell transfusion during elective surgery at Duke University. Anesth Analg 1994;74:236-42

  5. Forbes JM, Anderson MD, Anderson GF et al. Blood transfusion cost: a multicenter study. Transfusion 1991;31:319-23

  6. Roche JK, Stenglo JM. Open heart surgery and the demand for blood. JAMA 1988;225:1516-21.

  7. González AR. Medicina transfusional. Ed Prado. 1a Ed. pp 339-59.

  8. Goodnough LT, Brave J, Hsueh Y, Keating GL, Brittenham GM. Red cell volume in autologous and homologous blood units. Implications for risk/benefit assessment for autologous blood crossover and directed blood transfusion. Transfusion 1992;29:821-22.

  9. Goodnough LT, Shuck JM. Review of risks, options, and informed consents for blood transfusions in elective surgery. Am J Surg 1990;159:602-09.




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Rev Mex Anest. 2000;23