Nomogram for predicting perioperative blood transfusion for hepatopancreaticobiliary and colorectal surgery

Gil Ben-Horin
Published: Aug 16, 2016

A study performed at Johns Hopkins Hospital incorporated preoperative risk factors associated with blood transfusion into a nomogram to accurately predict transfusion following hepatopancreaticobiliary or colorectal surgery. The nomogram was based on routinely collected preoperative data so as to maximize its clinical applicability and to ensure that it was generalizable and easy to use. MetaVision was used to collect intraoperative fluid and transfusion data, which is maintained prospectively, updated monthly, and undergoes institutional quality review to verify accuracy. The authors point out that while the study provides a risk stratification tool to direct the development of improved decision-making pathways, based on risk management principles that allow redirection of resources to improve cost-effectiveness and patient outcomes, future studies are needed to validate the proposed nomogram externally using an independent data set.

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Nomogram for predicting perioperative blood transfusion for hepatopancreaticobiliary and colorectal surgery

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