Association between blood transfusions and complications in head and neck reconstruction: a systematic review and meta-analysis.

Autor: Giovacchini F; Maxillo-Facial Surgery Unit, Santa Maria Della Misericordia Hospital, Piazza Menghini 1, San Sisto, Perugia, Italy., Bensi C; Paediatric Dentistry Post-Graduate School, University of Rome 'Tor Vergata', Via Montpellier 1, Rome, Italy. caterinabensi@libero.it., Paradiso D; S.S.D. of Oral Surgery and Ambulatory, Santa Maria Della Misericordia Hospital, Piazza Menghini 1, San Sisto, Perugia, Italy., Docimo R; Paediatric Dentistry, Department of Surgical Sciences, University of Rome 'Tor Vergata', Via Montpellier 1, Rome, Italy., Tullio A; Maxillo-Facial Surgery, University of Perugia, Perugia, Italy.
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2021 Jul; Vol. 278 (7), pp. 2171-2185. Date of Electronic Publication: 2020 Sep 01.
DOI: 10.1007/s00405-020-06286-z
Abstrakt: Purpose: The aim of this meta-analysis is to assess the correlation between blood transfusions and the medical/surgical complications after head and neck reconstructive surgery.
Methods: The PRISMA protocol was used and the literature search was performed on Pubmed, Scopus, Cochrane Library and Web of Science up to March 13, 2020. The risk of bias in individual studies was assessed through the Newcastle Ottawa Scale.
Results: A total of 1219 records were screened after the electronic search, 22 of which were included in the qualitative analysis. Of there 22 scores, 18 articles were included in the meta-analysis. The OR for medical and surgical complications of transfused patients was 1,64 (95% CI 1.23-2.21); while, the OR for hospital readmission was 1.53 (95% CI 1.29-1.81).
Conclusions: The results of this meta-analysis suggested that blood transfusions are associated with both an increased risk of surgical and medical complications of head and neck flaps and with the hospital readmission.
Databáze: MEDLINE
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