ABO Blood Group and Transfusions In the Intraoperative and Postoperative Period After LVAD Implantation.
J Cardiothorac Vasc Anesth
; 34(4): 906-911, 2020 Apr.
Article
em En
| MEDLINE
| ID: mdl-31590941
ABSTRACT
OBJECTIVES:
To assess whether blood group O patients undergoing left ventricular assist device (LVAD) insertion have higher perioperative transfusion requirements, postoperative chest tube output, and postoperative changes in hematocrit.DESIGN:
Retrospective review of 116 LVAD patients from August 2015 to May 2018.SETTING:
Single-institution, urban academic medical center.PARTICIPANTS:
One hundred sixteen LVAD patients analyzed by blood group group O (nâ¯=â¯49) versus non-O (nâ¯=â¯67).INTERVENTIONS:
Transfusions in the combined intraoperative and postoperative period at 7 days and 90 days after LVAD implantation, chest tube output in the first 24 hours, and hematocrit change in the first 48 hours postoperatively.RESULTS:
There was no difference between group O and non-O within the univariable analysis for both 7-day and 90-day transfusion rates. Adjusting for covariables, blood type O was not associated with packed red blood cells transfusion after accounting for multiple comparisons (odds ratio 1.33 [1.07-1.66], pâ¯=â¯0.01, where p < 0.005 was considered statistically significant as a Bonferroni correction was performed to control the familywise error rate). Additionally, there was no difference in chest tube output over the first 24 hours (1,129 v 1,057 mL, pâ¯=â¯0.47) or hematocrit change in the first 48 hours postoperatively (3.49 v 4.53%, pâ¯=â¯0.15).CONCLUSION:
O blood group is not a significant predictor of transfusion requirements in the combined intraoperative and postoperative period up to 90 days after LVAD implantation.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Antígenos de Grupos Sanguíneos
/
Coração Auxiliar
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article