Results of a preoperative autologous blood donation program for patients undergoing elective major spine surgery.
Transfus Apher Sci
; 49(2): 345-8, 2013 Oct.
Article
em En
| MEDLINE
| ID: mdl-23871582
ABSTRACT
BACKGROUND AND OBJECTIVES:
Spinal surgery has been shown to have a high blood transfusion requirement. Preoperative autologous blood donation (PABD) is a strategy to reduce the allogeneic transfusions in this subset of patients. MATERIAL ANDMETHODS:
We retrospectively reviewed transfusion outcome of patients undergoing elective major spinal surgery from 2005 to 2011, and included in the PABD program. Transfusion outcome was compared with a group of patients that did not enter in the program during the same period.RESULTS:
A total of 148 patients were included in the program during the analyzed period. Patients in the PABD program benefited from reduced exposure to allogeneic blood (Odds Ratio 0.077, 95% confidence interval 0.043-0.140). However, 12.16% (n=18) of these patients received also allogeneic blood (total 40 red blood cell units). Univariate analysis showed the following parameters as significantly predictors of transfusion inclusion in the program (p<0.000), number of levels fused (Odds Ratio 1.143, p=0.010), and number of autologous red blood cells donated (Odds Ratio 1.906, p<0.000).CONCLUSIONS:
The preoperative autologous blood donation program designed in our hospital was effective for reducing allogeneic transfusion in mostly young patients under major elective spinal surgery. However and as expected, their inclusion in the program increased the risk to be transfused.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Coluna Vertebral
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Doadores de Sangue
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Transfusão de Sangue Autóloga
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Cuidados Pré-Operatórios
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Procedimentos Cirúrgicos Eletivos
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Child
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article