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There is increasing concern about the safety of homologous blood transfusion during cardiac surgery, and a restrictive transfusion practice is associated with improved outcome.
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Platelet Transfusion in Cardiac Surgery: A Systematic Review and Meta-Analysis
After accounting for baseline differences, platelet transfusion was not linked with perioperative complications in cardiac surgery patients. Given the small number of observational studies, these findings should be considered hypothesis generating.
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Currently the only way to be reimbursed for Autologous Platelet Rich Plasma for chronic non-healing wounds by Medicare is through a CMS approved clinical trial.
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