dc.creator | Pabón Carrasco, Manuel | es |
dc.creator | Cáceres Matos, Rocío | es |
dc.creator | Martínez-Flores, Salvador | es |
dc.creator | Luque Oliveros, Manuel | es |
dc.date.accessioned | 2024-05-06T12:34:56Z | |
dc.date.available | 2024-05-06T12:34:56Z | |
dc.date.issued | 2024-04 | |
dc.identifier.citation | Pabón Carrasco, M., Cáceres Matos, R., Martínez-Flores, S. y Luque Oliveros, M. (2024). The effectiveness of cell salvage in extracorporeal circulation surgeries in relation to use of health resources after use: A systematic review and meta-analysis. Heliyon, 10 (9). https://doi.org/10.1016/j.heliyon.2024.e30459. | |
dc.identifier.issn | 2405-8440 | es |
dc.identifier.uri | https://hdl.handle.net/11441/157696 | |
dc.description.abstract | Background: Alternatives to allogeneic blood transfusions are sought for resource management
reasons and it is necessary to investigate the efficiency and efficacy on Cell Salvage use. The
objective of this study is to analyze the effectiveness of the Cell Salvage system in addressing
factors related to healthcare service utilization that may lead to increased healthcare expenditure.
Methods: A systematic review with meta-analysis was conducted through literature search in
Medline, CINAHL, Scopus, Web of Science, and Cochrane Library. Inclusion criteria were studies
in English/Spanish, without year restriction and Randomized Controlled Trials design, conducted
in adults.
Results: Twenty-six studies were included in the systematic review, involving a total of 4781
patients (nexperimental group = 2365; ncontrol group = 2416). Significant differences favored the Cell
Salvage system in units of transfused Red Blood Cells, in terms of units (p = 0.04; SMD = − 0.42
95 % CI = − 0.83 to − 0.02) and individuals (p = 0.001; RR = 0.71, 95 % CI = 0.60 to 0.84)
transfused. No significant differences were found in ICU (p = 0.93) and hospital stay duration (p
= 0.21), number of reoperations (p = 0.68), and number of units and individuals transfused in
terms of platelets (p > 0.05).
Conclusions: Cell Salvage use holds high potential for reducing healthcare costs and indirectly
contributing to improving blood and blood product reserves within blood banks. Results obtained
thus far do not provide definitive evidence regarding the duration of hospital stay, ICU stay, need
for reoperation, or the quantity of transfused platelets. Therefore, it is recommended to increase
the number of studies to assess the impact on the economic models of the Cell Salvage system. | es |
dc.format | application/pdf | es |
dc.format.extent | 22 p. | es |
dc.language.iso | eng | es |
dc.publisher | Elsevier | es |
dc.relation.ispartof | Heliyon, 10 (9). | |
dc.rights | Atribución-NoComercial 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | * |
dc.subject | Health expenditures | es |
dc.subject | Operative blood salvage | es |
dc.subject | Blood transfusion autologous | es |
dc.subject | Blood transfusion | es |
dc.subject | Hospitalization | es |
dc.subject | Intensive care units | es |
dc.subject | Re-operation | es |
dc.title | The effectiveness of cell salvage in extracorporeal circulation surgeries in relation to use of health resources after use: A systematic review and meta-analysis | es |
dc.type | info:eu-repo/semantics/article | es |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Enfermería | es |
dc.relation.publisherversion | https://www.cell.com/heliyon/fulltext/S2405-8440(24)06490-9?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS2405844024064909%3Fshowall%3Dtrue | es |
dc.identifier.doi | 10.1016/j.heliyon.2024.e30459 | es |
dc.journaltitle | Heliyon | es |
dc.publication.volumen | 10 | es |
dc.publication.issue | 9 | es |