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October 13, 2010

Blood Transfusion as a Quality Indicator in Cardiac Surgery

Author Affiliations

Author Affiliations: Department of Anesthesiology and Critical Care, Englewood Hospital and Medical Center, Englewood, New Jersey (Dr Shander); and Departments of Pathology and Medicine, Stanford University School of Medicine, Stanford, California (Dr Goodnough).

JAMA. 2010;304(14):1610-1611. doi:10.1001/jama.2010.1483

In 2007, the Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists issued clinical practice guidelines on perioperative blood transfusion and blood conservation in cardiac surgery.1 In a 2009 follow-up survey of clinicians considered the primary target group of these guidelines, more than two-thirds of respondents indicated some degree of familiarity with the guidelines.2 However, reported changes in practice resulting from the guidelines were limited, and about half of the respondents indicated that they did not adhere to the recommended reduced hemoglobin cutoff points as transfusion triggers.