Resource implications of adopting a restrictive neonatal blood transfusion policy

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dc.contributor.authorHarrison, M C
dc.contributor.authorPillay, S
dc.contributor.authorJoolay, Y
dc.contributor.authorRhoda, N
dc.contributor.authorRaban, M S
dc.contributor.authorHorn, A R
dc.contributor.authorTooke, L
dc.date.accessioned2021-10-08T07:20:25Z
dc.date.available2021-10-08T07:20:25Z
dc.date.issued2013
dc.description.abstractBACKGROUND: Blood transfusions (BTFs) are not without risk and pose a significant financial burden on resource-limited services. In line with current international evidence, the nursery at Groote Schuur Hospital (GSH), Cape Town, South Africa, introduced a restrictive BTF protocol to minimise transfusions and manage costs. OBJECTIVE: To determine whether adopting a restrictive BTF policy results in fewer transfusions. METHODS: Data were retrospectively collected on all infants who received BTFs in the GSH nursery over a 6-month period following adoption of a restrictive BTF policy in 2010. BTF figures for a similar time period before the restrictive policy, during 2008, were obtained for comparison. RESULTS: After introduction of the restrictive BTF policy, 42 of 1 097 infants admitted (3.8%) received a total of 64 BTFs. In comparison, 102 of a total of 940 infants (10.9%) admitted during a period of the same length before introduction of the restrictive BTF policy received a total of 121 transfusions. Comparison between the number of BTFs administered before and after the restrictive policy showed a highly statistically significant difference (p<0.001). The total cost of the blood products used in the two 6-month periods was R91 870 v. R48 640, based on current prices. CONCLUSIONS: By adopting a restrictive policy, we were able to halve the number of BTFs, reduce risks associated with transfusions, and achieve significant cost benefits. Following evidence-based guidelines results in high standards of care, while also making the most effective use of resources.
dc.identifier.apacitationHarrison, M. C., Pillay, S., Joolay, Y., Rhoda, N., Raban, M. S., Horn, A. R., & Tooke, L. (2013). Resource implications of adopting a restrictive neonatal blood transfusion policy. <i>South African Medical Journal</i>, 103(12), 916 - 177. http://hdl.handle.net/11427/34911en_ZA
dc.identifier.chicagocitationHarrison, M C, S Pillay, Y Joolay, N Rhoda, M S Raban, A R Horn, and L Tooke "Resource implications of adopting a restrictive neonatal blood transfusion policy." <i>South African Medical Journal</i> 103, 12. (2013): 916 - 177. http://hdl.handle.net/11427/34911en_ZA
dc.identifier.citationHarrison, M.C., Pillay, S., Joolay, Y., Rhoda, N., Raban, M.S., Horn, A.R. & Tooke, L. 2013. Resource implications of adopting a restrictive neonatal blood transfusion policy. <i>South African Medical Journal.</i> 103(12):916 - 177. http://hdl.handle.net/11427/34911en_ZA
dc.identifier.issn0038-2469
dc.identifier.ris TY - Journal Article AU - Harrison, M C AU - Pillay, S AU - Joolay, Y AU - Rhoda, N AU - Raban, M S AU - Horn, A R AU - Tooke, L AB - BACKGROUND: Blood transfusions (BTFs) are not without risk and pose a significant financial burden on resource-limited services. In line with current international evidence, the nursery at Groote Schuur Hospital (GSH), Cape Town, South Africa, introduced a restrictive BTF protocol to minimise transfusions and manage costs. OBJECTIVE: To determine whether adopting a restrictive BTF policy results in fewer transfusions. METHODS: Data were retrospectively collected on all infants who received BTFs in the GSH nursery over a 6-month period following adoption of a restrictive BTF policy in 2010. BTF figures for a similar time period before the restrictive policy, during 2008, were obtained for comparison. RESULTS: After introduction of the restrictive BTF policy, 42 of 1 097 infants admitted (3.8%) received a total of 64 BTFs. In comparison, 102 of a total of 940 infants (10.9%) admitted during a period of the same length before introduction of the restrictive BTF policy received a total of 121 transfusions. Comparison between the number of BTFs administered before and after the restrictive policy showed a highly statistically significant difference (p<0.001). The total cost of the blood products used in the two 6-month periods was R91 870 v. R48 640, based on current prices. CONCLUSIONS: By adopting a restrictive policy, we were able to halve the number of BTFs, reduce risks associated with transfusions, and achieve significant cost benefits. Following evidence-based guidelines results in high standards of care, while also making the most effective use of resources. DA - 2013 DB - OpenUCT DP - University of Cape Town IS - 12 J1 - South African Medical Journal LK - https://open.uct.ac.za PY - 2013 SM - 0038-2469 T1 - Resource implications of adopting a restrictive neonatal blood transfusion policy TI - Resource implications of adopting a restrictive neonatal blood transfusion policy UR - http://hdl.handle.net/11427/34911 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34911
dc.identifier.vancouvercitationHarrison MC, Pillay S, Joolay Y, Rhoda N, Raban MS, Horn AR, et al. Resource implications of adopting a restrictive neonatal blood transfusion policy. South African Medical Journal. 2013;103(12):916 - 177. http://hdl.handle.net/11427/34911.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Paediatrics and Child Health
dc.publisher.facultyFaculty of Health Sciences
dc.sourceSouth African Medical Journal
dc.source.journalissue12
dc.source.journalvolume103
dc.source.pagination916 - 177
dc.source.urihttps://dx.doi.org/10.7196/SAMJ.6858
dc.subject.otherAnemia, Neonatal
dc.subject.otherBlood Transfusion
dc.subject.otherCost Control
dc.subject.otherCost-Benefit Analysis
dc.subject.otherHealth Care Rationing
dc.subject.otherHumans
dc.subject.otherInfant, Newborn
dc.subject.otherInfant, Premature
dc.subject.otherOutcome Assessment (Health Care)
dc.subject.otherPolicy Making
dc.subject.otherRetrospective Studies
dc.subject.otherSouth Africa
dc.subject.otherTransfusion Reaction
dc.titleResource implications of adopting a restrictive neonatal blood transfusion policy
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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