Impact of liberal intraoperative allogeneic blood transfusion on postoperative morbidity and mortality in major thoracic and lumbar posterior spine instrumentation surgeries

Autor: Fenghua Li, Mike H. Sun, Reza Gorji, William F. Lavelle, Richard A. Tallarico, Prisco J. DeMercurio, W. Jacob Lavelle, Swamy Kurra
Rok vydání: 2021
Předmět:
Zdroj: Spine Deformity. 10:573-579
ISSN: 2212-1358
2212-134X
Popis: To investigate the impact of intraoperative blood transfusion on outcomes in patients who had major thoracic and lumber posterior spine instrumentation surgery. Retrospective study included patients who underwent major spine surgery between 2013 and 2017. Patients’ demographics, surgical charts, anesthesia charts, discharge charts and follow-up outpatient charts were reviewed. Data collection included: age, gender, BMI, Charlson Co-morbidity Index (CCI) scores, American Society of Anesthesiologists (ASA) scores, amount of estimated blood loss [% estimated blood volume (%EBV)], amount of blood transfused during surgery and post-surgery before discharge, number of fusion levels, pre- and postoperative hemoglobin (Hb) levels, and length of hospital stay. Also collected in-hospital postoperative complications (cardiovascular, pulmonary, infections and deaths). Patients’ postoperative intubation status data documented. Reviewed follow-up charts to document any complications. Sample size = 289; No transfusion = 92; transfusion = 197. Transfused patients were significantly older, p
Databáze: OpenAIRE
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