Risk Factors and Outcome of Increased Red Blood Cell Transfusion in Cardiac Surgical Patients Aged 65 Years and Older
| Autor: | Canan Tulay Isil, Ihsan Bakir, Pinar Yazici |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Blood transfusion medicine.medical_treatment Cohort Studies Risk Factors medicine Humans Cardiac Surgical Procedures Aged Retrospective Studies Aged 80 and over Univariate analysis business.industry Postoperative complication EuroSCORE Retrospective cohort study Surgery Cardiac surgery Treatment Outcome Female Fresh frozen plasma Erythrocyte Transfusion Cardiology and Cardiovascular Medicine business Cohort study |
| Zdroj: | The Thoracic and Cardiovascular Surgeon. 63:039-044 |
| ISSN: | 1439-1902 0171-6425 |
| Popis: | BACKGROUND The use of blood products is not uncommon during cardiac surgery in elderly patients. We conducted this study to investigate the risk factors and adverse outcomes of increased red blood cell (RBC) transfusion in the patients aged ≥ 65 years undergoing cardiac surgery. METHODS During 1 year period, 288 patients (197 male/91 female) aged ≥ 65 years who underwent coronary and/or valvular surgery were retrospectively reviewed. Patients were stratified into groups on the basis of the number of transfusions received (< 4 and ≥ 4 U) which was classified as increased transfusion. Univariate analysis and multivariate logistic regression were used to identify risk factors for increased transfusion. RESULTS The mean unit of RBC transfusion was 4.5 ± 3.1 and 55.9% (n = 161) of patients received ≥ 4 U RBC. The overall postoperative complication rate was 36% and significantly higher in those with ≥ 4 U) RBC transfusion (p |
| Databáze: | OpenAIRE |
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