Patient blood management: A solution for South Africa

South African Patient Bloo

Research output: Contribution to journalArticle

Abstract

For more than 70 years the default therapy for anaemia and blood loss was mostly transfusion. Accumulating evidence demonstrates a significant dose-dependent relationship between transfusion and adverse outcomes. This and other transfusion-related challenges led the way to a new paradigm. Patient blood management (PBM) is the application of evidence-based practices to optimise patient outcomes by managing and preserving the patient's own blood. 'Real-world' studies have shown that PBM improves patient outcomes and saves money. The prevalence of anaemia in adult South Africans is 31% in females and 17% in males. Improving the management of anaemia will firstly improve public health, secondly relieve the pressure on the blood supply, and thirdly improve the productivity of the nation's workforce. While high-income countries are increasingly implementing PBM, many middle-and low-income countries are still trying to upscale their transfusion services. The implementation of PBM will improve South Africa's health status while saving costs.

Original languageEnglish
Pages (from-to)471-476
Number of pages6
JournalSAMJ South African Medical Journal
Volume109
Issue number7
DOIs
Publication statusPublished - Jul 2019

Cite this

South African Patient Bloo. / Patient blood management : A solution for South Africa. In: SAMJ South African Medical Journal. 2019 ; Vol. 109, No. 7. pp. 471-476.
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abstract = "For more than 70 years the default therapy for anaemia and blood loss was mostly transfusion. Accumulating evidence demonstrates a significant dose-dependent relationship between transfusion and adverse outcomes. This and other transfusion-related challenges led the way to a new paradigm. Patient blood management (PBM) is the application of evidence-based practices to optimise patient outcomes by managing and preserving the patient's own blood. 'Real-world' studies have shown that PBM improves patient outcomes and saves money. The prevalence of anaemia in adult South Africans is 31{\%} in females and 17{\%} in males. Improving the management of anaemia will firstly improve public health, secondly relieve the pressure on the blood supply, and thirdly improve the productivity of the nation's workforce. While high-income countries are increasingly implementing PBM, many middle-and low-income countries are still trying to upscale their transfusion services. The implementation of PBM will improve South Africa's health status while saving costs.",
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Patient blood management : A solution for South Africa. / South African Patient Bloo.

In: SAMJ South African Medical Journal, Vol. 109, No. 7, 07.2019, p. 471-476.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Patient blood management

T2 - A solution for South Africa

AU - South African Patient Bloo

AU - Thomson, J.

AU - Hofmann, A.

AU - Barrett, C. A.

AU - Beeton, A.

AU - Bellairs, G. R. M.

AU - Boretti, L.

AU - Coetzee, M. J.

AU - Farmer, S.

AU - Gibbs, M. W.

AU - Gombotz, H. H.

AU - Hilton, C.

AU - Kassianides, C.

AU - Louw, V. J.

AU - Lundgren, C.

AU - Mahlangu, J. N.

AU - Noel, C. B.

AU - Rambiritch, V.

AU - Schneider, F.

AU - Verburgh, E.

AU - Wessels, P-L

AU - Wessels, P.

AU - Wise, R.

AU - Shander, A.

PY - 2019/7

Y1 - 2019/7

N2 - For more than 70 years the default therapy for anaemia and blood loss was mostly transfusion. Accumulating evidence demonstrates a significant dose-dependent relationship between transfusion and adverse outcomes. This and other transfusion-related challenges led the way to a new paradigm. Patient blood management (PBM) is the application of evidence-based practices to optimise patient outcomes by managing and preserving the patient's own blood. 'Real-world' studies have shown that PBM improves patient outcomes and saves money. The prevalence of anaemia in adult South Africans is 31% in females and 17% in males. Improving the management of anaemia will firstly improve public health, secondly relieve the pressure on the blood supply, and thirdly improve the productivity of the nation's workforce. While high-income countries are increasingly implementing PBM, many middle-and low-income countries are still trying to upscale their transfusion services. The implementation of PBM will improve South Africa's health status while saving costs.

AB - For more than 70 years the default therapy for anaemia and blood loss was mostly transfusion. Accumulating evidence demonstrates a significant dose-dependent relationship between transfusion and adverse outcomes. This and other transfusion-related challenges led the way to a new paradigm. Patient blood management (PBM) is the application of evidence-based practices to optimise patient outcomes by managing and preserving the patient's own blood. 'Real-world' studies have shown that PBM improves patient outcomes and saves money. The prevalence of anaemia in adult South Africans is 31% in females and 17% in males. Improving the management of anaemia will firstly improve public health, secondly relieve the pressure on the blood supply, and thirdly improve the productivity of the nation's workforce. While high-income countries are increasingly implementing PBM, many middle-and low-income countries are still trying to upscale their transfusion services. The implementation of PBM will improve South Africa's health status while saving costs.

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KW - CELL TRANSFUSION

KW - FERRIC CARBOXYMALTOSE

KW - PREOPERATIVE ANEMIA

KW - CLINICAL-OUTCOMES

KW - SURGERY

KW - IMPLEMENTATION

KW - MORTALITY

KW - IRON

KW - INFECTION

U2 - 10.7196/SAMJ.2019.v109i7.13859

DO - 10.7196/SAMJ.2019.v109i7.13859

M3 - Article

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EP - 476

JO - South African Medical Journal

JF - South African Medical Journal

SN - 0256-9574

IS - 7

ER -