Percentage of adult patients with a post transfusion hemoglobin or hematocrit value greater than or equal to 10 g/dL or 30%.
The American Association of Blood Banks (AABB) recommends a transfusion threshold of hemoglobin concentration less than or equal to 8 g/dL or when patient is symptomatic (chest pain, orthostatic hypotension, tachycardia unresponsive to fluid resuscitation, or congestive heart failure).1,2 Furthermore, blood transfusions in non-cardiac surgery have been associated with increased risk of 30-day mortality and morbidity.3,4
Although the literature is not conclusive on the exact hemoglobin concentration that requires transfusion, the evidence is clear that use of fewer RBC transfusions reduces cost and risk for adverse effects of transfusion, and that transfusion to hemoglobin value greater than 10 g/dL or hematocrit greater than 30 is almost always not indicated.5 TRAN 02 is an outcome measure examining the number of patients who may have received more blood than necessary.
90 minutes before the last intraoperative transfusion to 18 hours after Anesthesia End.
Adult patients requiring anesthesia who receive a transfusion.
*This measure will include only valid MPOG cases as defined by the Is Valid Case phenotype.
Pending
Provider(s) who administered blood product
Blood Products
Point of Care Testing
Formal Labs
Measure Author |
Institution |
Nirav Shah, MD |
University of Michigan |
Jaime Osborne, RN |
University of Michigan |
Kate Buehler, MS, RN |
University of Michigan |
Meridith Wade, MSN, RN |
University of Michigan |
Jay Jeong |
University of Michigan |
Sachin Kheterpal, MD |
University of Michigan |
MPOG Quality Committee |
Date Reviewed | Reviewer | Institution | Summary | QC Vote |
---|---|---|---|---|
05/24/2021 |
John Trummel, MD |
Dartmouth-Hitchcock |
No Change |
Date | Criteria | Revision |
---|---|---|
9/6/2024 | Exclusions & MPOG Concepts Used |
Removed cardiac case exclusion, however, autologous units not considered for cardiac cases. New hemoglobin/hematocrit concepts added to measure:
|
9/2015 | Measure Published |