Blood utilization in revision versus first-time cardiac surgery: an update in the era of patient blood management
| Autor: | Nadia B. Hensley, William W. Yang, Steven M. Frank, Kaushik Mandal, Pranjal B. Gupta, Todd C. Crawford, Megan P. Kostibas, Charles H. Brown |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Blood management Valve surgery business.industry Immunology Hematology 030204 cardiovascular system & hematology Cardiac surgery Retrospective database Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Transfusion requirement medicine Immunology and Allergy Referral center 030212 general & internal medicine Risk factor business Artery |
| Zdroj: | Transfusion. 58:168-175 |
| ISSN: | 0041-1132 |
| DOI: | 10.1111/trf.14361 |
| Popis: | BACKGROUND Relative to first-time (primary) cardiac surgery, revision cardiac surgery is associated with increased transfusion requirements, but studies comparing these cohorts were performed before patient blood management (PBM) and blood conservation measures were commonplace. The current study was performed as an update to determine if this finding is still evident in the PBM era. STUDY DESIGN AND METHODS Primary and revision cardiac surgery cases were compared in a retrospective database analysis at a single tertiary care referral center. Two groups of patients were assessed: 1) those having isolated coronary artery bypass (CAB) or valve surgery and 2) all other cardiac surgeries. Intraoperative and whole hospital transfusion requirements were assessed for the four major blood components. RESULTS Compared to the primary cardiac surgery patients, the revision surgery patients required approximately twofold more transfused units intraoperatively (p 10 red blood cell [RBC] units) was substantially more frequent with revision versus primary cardiac surgery (2.6% vs. 0.1% [p |
| Databáze: | OpenAIRE |
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