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Patient Blood Management (PBM)
Areas of Expertise

Patient Blood Management (PBM) in Switzerland

SITUATION IN SWITZERLAND

Broad acceptance in the scientific community and the evident advantages for patients, hospitals and the health care system have led to the introduction of PBM programmes in many countries. Although PBM has been met with great interest in Switzerland, it has only been introduced to a limited extent in most hospitals. The reasons for this include the complexity of the task with its multidisciplinary approach and the interprofessional collaborations between general practitioner, surgeon and hospital organisation. Vifor Pharma Switzerland supports hospitals in implementing PBM programmes.

POSSIBLE BENEFITS OF THE USE OF PBM IN SWITZERLAND

By introducing PBM in Switzerland, quality of treatment can be improved significantly. Extrapolation of results from Australia to Switzerland predicts that if PBM were implemented comprehensively, it would result, among other things, in a reduction of 13 000 cases in infections in hospitals, over 2 million fewer days spent in hospital, and a decrease of about 9000 cases per year in hospital deaths.15

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References

  1. Munoz M, et al. «Fit to fly»: overcoming barriers to preoperative haemoglobin optimization in surgical patients. Br J Anaesth 2015;115:15–24.
  2. Musallam KM, et al. Preoperative anemia and postoperative outcomes in non-cardiac surgery: a retrospective cohort study. Lancet 2011;378:1396–1407.
  3. Kotzé A, et al. Effect of a patient blood management programme on preoperative anemia, transfusion rate, and outcome after primary hip or knee arthroplasty: a quality improvement cycle. Br J Anaesth 2012;108:943–952.
  4. Clevenger B, Richards T. Pre-operative anemia. Anaesthesia 2015;70:20–28.
  5. Beattie WS, et al. Risk associated with preoperative anemia in noncardiac surgery: a single-center cohort study. Anesthesiology 2009;110:574–581.
  6. Spahn DR, et al. Non-treatment of preoperative anemia is substandard clinical practice. Br J Anesthesia 2015;115:1–3.
  7. http://www.nba.gov.au/guidelines/module2.
  8. Farmer SL, et al. Programmatic Approach to Patient Blood Management – Reducing Transfusions and Improving Patient Outcomes, The Open Anesthesiology. Journal 2015;9:6–16.
  9. Mehra T, et al. Implementation of a patient blood management monitoring and feedback program significantly reduces transfusions and costs. Transfusion 2015; Dec;55(12):2807-15
  10. Leahy MF, et al. Improved outcomes and reduced costs associated with a health-system-wide patient blood management program: a retrospective observational study in four major adult tertiary-care hospitals. Transfusion.2017;57(6):1347–1358.
  11. Meybohm P, et al. Patient Blood Management is Associated With a Substantial Reduction of Red Blood Cell Utilization and Safe for Patient’s Outcome: A Prospective, Multicenter Cohort Study With a Noninferiority Design. Ann Surg 2016;264(2):203–211.
  12. Greinacher A, Fendrich K, Hoffmann W. Demographic Changes: The Impact for Safe Blood Supply. Transfus Med Hemother 2010;37(3):141–148.
  13. WHO 2010, 63rd assembly A63/20; WHO resolution WHA63.12. Availability, safety and quality of blood products.
  14. Volken T, Schenk D. Versorgung mit Blut und Blutprodukten in der Schweiz. Auswertung der Blutentnahmen und Bluttransfusionen im Zeitraum zwischen 1996 und 2013 mit einer Projektion bis 2035, Schlussbericht. Forschungsstelle Gesundheitswissenschaften, ZHAW Zürcher Hochschule für Angewandte Wissenschaften, ZHAW Forschungsbericht.
  15. PBM Exigo App (available for free from the iOS App Store /Google Play Store)
Patient Blood Management (PBM) in Switzerland | Ferinject CH
Although PBM has been met with great interest in Switzerland, it has only been introduced to a limited extent in most hospitals.