Transfusion characteristics and hemostatic conditions in octogenarians undergoing emergency surgery for acute aortic dissection: a retrospective study

Autor: Tetsuhito Masubuchi, Kenji Yoshitani, Kimito Minami, Chisaki Yokoyama, Akito Tsukinaga, Takahisa Goto, Yoshihiko Ohnishi
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: JA Clinical Reports, Vol 6, Iss 1, Pp 1-5 (2020)
Druh dokumentu: article
ISSN: 2363-9024
DOI: 10.1186/s40981-020-00358-z
Popis: Abstract Background The number of elderly patients undergoing elective as well as emergent cardiac surgery is increasing. Octogenarian and older patients undergoing surgery for acute type A aortic dissection (AAD) have a significantly higher risk of postoperative mortality than younger patients. Hemostasis is difficult in octogenarians with AAD. However, few studies have investigated perioperative blood transfusion volumes and hemostatic conditions in patients undergoing AAD surgery. We retrospectively investigated whether these factors differed between octogenarians and younger patients with AAD. Methods The records of 207 patients who underwent emergency surgery for AAD were reviewed between 2008 and 2014. We compared the total volumes of transfused blood components (red blood cell concentrate, fresh frozen plasma, platelets concentrate, and cryoprecipitate), perioperative blood coagulation test results (prothrombin time-international normalized ratio, activated partial thrombin time, and activated coagulation time), and intensive care unit and hospital stay durations between octogenarians (n = 33) and patients
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