Acta Scientific Paediatrics (ISSN: 2581-883X)

Research ArticleVolume 4 Issue 5

Transfusion in Pediatric Surgical Settings: Economic Aspects and Hospitalization Costs

Claudine Kumba*

Department of Pediatric and Obstetric Anesthesia and Critical Care, Hôpital Universitaire Necker Enfants Malades, Assistance Publique Hôpitaux de Paris, APHP, Université de Paris, France

*Corresponding Author: Claudine Kumba, Department of Pediatric and Obstetric Anesthesia and Critical Care, Hôpital Universitaire Necker Enfants Malades, Assistance Publique Hôpitaux de Paris, APHP, Université de Paris, France.

Received: March 16, 2021; Published: April 10, 2021

Citation: Claudine Kumba. “Transfusion in Pediatric Surgical Settings: Economic Aspects and Hospitalization Costs”. Acta Scientific Paediatrics 4.5 (2021): 03-06.

Abstract

Background: An observational study published in 2017 revealed transfusion as one of the predictive factor of outcome in surgical children in terms of organ dysfunction, length of intensive care unit stay, length of hospital stay and length of mechanical ventilation. Transfusion can be a necessity and life-saving intervention in patients. Balancing the benefits and risks of this therapeutic intervention is mandatory to improve patient outcome. Patient blood product management protocols reduce transfusion needs and length of hospital stay. A second analysis was undertaken to determine hospitalization costs in transfused and non-transfused patients in the observational study in children published in 2017.

Objectives: To determine the hospitalization costs of transfused and non-transfused patients of the observational study in 594 pediatric neurosurgery, abdominal and orthopedic surgery patients published in 2017.

Methods: Second analysis of the database of 594 pediatric surgical patients of the observational study published in 2017.

Results: Median total hospitalization costs in transfused patients were significantly twice higher {32041.97 euros [13983.82-59003.59]} than in non-transfused patients {14084.45 euros [8551.2-29124.55]}, p < 0.0001.

Keywords: Transfusion; Pediatric Surgical Settings; Hospitalization Costs

Bibliography

  1. Kumba C., et al. “Transfusion and Morbi-Mortality Factors: An Observational Descriptive Retrospective Pediatric Cohort Study”. Journal of Anesthesia and Critical Care: Open Access 4 (2017): 00315.
  2. Kumba C., et al. “Blood Product Transfusion and Postoperative Outcome in Pediatric Neurosurgical Patients”. EC Anaesthesia8 (2018): 288-298.
  3. Kumba C., et al. “Is Transfusion an Independent Risk Factor of Postoperative Outcome in Pediatric Orthopedic Surgical Patients ? A Retrospective Study”. The Journal of Emergency and Critical Care Medicine 2 (2018): 7.
  4. Kumba C., et al. “Transfusion and Postoperative Outcome in Pediatric Abdominal Surgery”. Journal of Clinical Anesthesiology Research 1 (2018): 1-8.
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  6. Kumba C. “Iron deficiency with or without anemia and perspectives of perioperative management in children”. Advances in Pediatric Research 6 (2019): 33.
  7. Kumba C., et al. “A Systematic Review and Meta-analysis of Goal Directed Intra-Operative Transfusion Protocols Guided by Viscoelastic Methods and Perioperative Outcomes in Children”. International Journal of Recent Scientific Research 03 (2019): 31466-31471.
  8. Muszynski JA., et al. “Transfusion-related immunomodulation: Review of the literature and implications for pediatric critical illness”. Transfusion (2016).
  9. Kumba C. “Do Goal Directed Therapies Improve Postoperative Outcome in Children? (Perioperative Goal Directed Fluid and Hemodynamic Therapy; Transfusion goal directed therapy using viscoelastic methods and enhanced recovery after surgery and Postoperative outcome): A Study Research Protocol”. Acta Scientific Paediatrics7 (2019): 17-19.
  10. Arrêté du 9 mars 2010 relatif au tarif de cession des produits sanguins labiles”. Dernière mise à jour des données de ce texte. JORF n°0060 du 12 mars 2010. Version en vigueur au 24 avril 2014.
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Copyright: © 2021 Claudine Kumba. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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