Transfusion Preparedness Strategies for Obstetric Hemorrhage

Abstract

Transfusion preparedness with universal type and screen is not cost-effective in a general obstetric population across a wide range of assumptions and variable ranges.

Cost-Effectiveness of Routine Type and Screens in Select Endonasal Skull Base Surgeries

“…This value was derived from the sole study describing such a threshold, which, although informed by patient-level data, also relied on expert opinion. 18 Patient transfusion risk profiles, availability of ERT, and efficiency of blood banking systems are among some of the variables hospitals should consider when determining their WTP. 18 For hospitals with limited means and ERT availability, a WTP threshold significantly greater than $1,500 may be acceptable.…”

“…The prevention of ERT as an effectiveness outcome was described by Einerson et al, who argued that the effects of crossmatched versus ERT on quality-adjusted life-years are unknown, thus making the prevention of ERT-a product in limited supply-more practical to interpret from a hospital policymaker prespective. 18 This present analysis also used $1,500 to prevent one ERT as the a priori willingness-to-pay (WTP) threshold for cost-effectiveness. 18 The WTP threshold estimates the maximum ICER that policymakers are willing to accept to adopt a more expensive, yet more effective, intervention.…”

“…18 This present analysis also used $1,500 to prevent one ERT as the a priori willingness-to-pay (WTP) threshold for cost-effectiveness. 18 The WTP threshold estimates the maximum ICER that policymakers are willing to accept to adopt a more expensive, yet more effective, intervention. 19 Fig.…”

Comparison of group O Rh(D)− red blood cell use in pregnant women across hospitals of various sizes and obstetric capabilities prior to the introduction of patient blood management guidelines

“…7 There has been debate about the cost effectiveness of testing given the infrequent nature of obstetric transfusions. [9][10][11] However, reduced testing leads to a greater reliance on emergency released O Rh(D)-RBCs. 10 O Rh(D)-RBC usage is commonly studied through audits performed by the blood supply sector, by surveying hospitals over a defined period.…”

“…[9][10][11] However, reduced testing leads to a greater reliance on emergency released O Rh(D)-RBCs. 10 O Rh(D)-RBC usage is commonly studied through audits performed by the blood supply sector, by surveying hospitals over a defined period. [1][2][3] These studies typically lack detail on patient diagnoses and rarely differentiate between the types of obstetric services offered.…”