Pediatric transfusion medicine is increasingly being recognized as an area that could benefit from additional study independent of adult data. However, few databases prior to the Recipient Epidemiology and Donor Evaluation Study-IV-P (REDS-IV-P) have been designed specifically to capture such data. This session will highlight pediatric transfusion medicine specific lessons learned from databases designed for other purposes, including the Kids’ Inpatient Database (KID), the Pediatric Health Information System (PHIS), the American College of Surgery National Surgical Quality Improvement Program (ACS-NSQIP) Database, and the REDS-III Database. The session will also touch on the limitations of these types of existing databases and will highlight data fields that would optimally be captured in future databases to inform practice.
Review transfusion specific data in children extracted from the American College of Surgery National Surgical Quality Improvement Program (ACS-NSQIP) Database, in relation to post-operative venous thromboembolism.
Describe the pediatric specific transfusion medicine data collected from academic and community hospitals during REDS-III in general pediatrics as well as in medical and surgical subspecialties, and discuss database limitations.
Review pre-transfusion laboratory values for red blood cell, platelet, plasma, and cryoprecipitate transfusions given to children with different diagnoses, in the inpatient and outpatient setting during REDS-III.
Describe pediatric transfusion specific data extracted and applied from nationally representative databases such as Kids’ Inpatient Database (KID) (an initiative of the Healthcare Cost and Utilization Project) and Pediatric Health Information System (PHIS) (an initiative by Children’s Hospital Association providing inpatient, ambulatory surgery and emergency department data) and discuss statistical caution to be exerted in database research by means of examples.
All relevant financial relationships have been mitigated. By completing the evaluation, you are attesting to watching the presentation in its entirety. A certificate will be immediately provided after submission.
AM21-78: Building the Pediatric Transfusion Medicine Evidence Base: New Insights from Database Research Evaluation