Cell salvage within adult and pediatric idiopathic scoliosis surgery: A random cross-sectional study.

Autor:	Al-Mohrej OA; Department of Orthopedic Surgery, King Faisal Specialist Hospital and Research Center, 12713 Riyadh, Saudi Arabia., Al-Torbaq B; Department of Orthopedic Surgery, King Faisal Specialist Hospital and Research Center, 12713 Riyadh, Saudi Arabia., Hshem R; Department of Orthopedic Surgery, King Faisal Specialist Hospital and Research Center, 12713 Riyadh, Saudi Arabia., Sayer J; Department of Orthopedic Surgery, King Faisal Specialist Hospital and Research Center, 12713 Riyadh, Saudi Arabia., Al-Rabiah AM; Department of Orthopedic Surgery, King Faisal Specialist Hospital and Research Center, 12713 Riyadh, Saudi Arabia., Al-Zayed ZS; Department of Orthopedic Surgery, King Faisal Specialist Hospital and Research Center, 12713 Riyadh, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	SICOT-J [SICOT J] 2020; Vol. 6, pp. 41. Date of Electronic Publication: 2020 Oct 08.
DOI:	10.1051/sicotj/2020038
Abstrakt:	Introduction: This study aimed to evaluate the use of a cell savage and its impact on the amount of allogenic blood transfused to the patients during idiopathic scoliosis surgery. Methods: A total of 142 randomly selected patients with scoliosis had been included in this study. The adult group consisted of 78 patients, and the pediatric group, 64 patients. Both groups were divided into subgroups (pre-cell saver era and cell saver era). Data on the following parameters were collected: amount of blood transfused intraoperatively, within 24 h postoperatively, and overall. The number of patients who received transfusion was counted as the number of patients who avoided any transfusion. For statistical purposes, we performed unpaired student t-test, chi-square test, and Mann-Whitney test. Results: There was no significant difference in adult groups perioperatively. In the pediatric group, there was a statistically significant difference intraoperatively. Economic analysis of blood management showed positive numbers for both groups, where more than 1 unit of blood was transfused. Conclusions: Statistical analysis showed the cost-effectiveness of the perioperative use of cell salvage during pediatric scoliosis surgery. Overall, the use of cell salvage during scoliosis surgery had a positive impact on both blood management and patient recovery. (© The Authors, published by EDP Sciences, 2020.)
Databáze:	MEDLINE
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