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Am J Surg. 1996 Mar;171(3):324-30.

A cost analysis of autologous and allogeneic transfusions in hip-replacement surgery.

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  • 1Department of Pathology, University of Rochester Medical Center, New York, USA.

Abstract

PURPOSE:

To analyze the cost consequences of autologous versus allogeneic transfusions.

METHODS:

Costs were determined when allogeneic transfusions were given in addition to, or instead of, autologous transfusions. Hospital charges were used to estimate costs for hip-replacement surgery. The main outcome measure was estimated incremental hospital costs per unit transfused.

RESULTS:

Among donors of autologous blood, mean total charges were $7,200 greater for recipients of both autologous and allogeneic transfusions than for recipients of autologous transfusion only (P=0.0001). Each allogeneic transfusion was associated with additional costs of $1,480. In a second cohort of patients receiving identical amounts of either allogeneic or autologous blood (mean=2.3 units), total hospital charges were a mean of $4,800 greater (P=0.0001) for allogeneic recipients. The per unit excess costs associated with each unit of allogeneic blood cohort were $1,043.

CONCLUSIONS:

Allogeneic transfusions are associated with incremental hospital costs of about $1,000 to $1,500 per unit transfused when compared with costs for similar patients receiving no transfusions or 1 to 5 units of autologous blood.

[PubMed - indexed for MEDLINE]
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