[Home ] [Archive]   [ فارسی ]  
:: Main :: About us :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Articles archive::
For Authors::
For Reviewers::
Subscription::
News& Events::
Contact us::
Site Facilities::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
Indexing
                        
..
:: Volume 14, Issue 3 (Atumn 2017) ::
Sci J Iran Blood Transfus Organ 2017, 14(3): 188-194 Back to browse issues page
Evaluation of blood use in cardiac surgery
M. Shahbazi , A. Chegini , M. Ahmadinejad
Keywords: Key words: Cardiac Surgery, Red Blood Cell Transfusion, Blood Transfusion
Full-Text [PDF 323 kb]   (1479 Downloads)     |   Abstract (HTML)  (4851 Views)
Type of Study: Research | Subject: Blood transfusion medicine
Published: 2017/09/11
Full-Text:   (4767 Views)
References:
 
 
  1. Calcaterra D. Importance of Blood Conservation in Cardiac Surgery and Impact on Patients Refusing Blood Product Transfusions. J Blood Disorders Transf 2012; 4: e107.
  2. Weiskopf RB, Viele MK, Feiner J, Kelley S, Lieberman J, Noorani M, et al. Human cardiovascular and metabolic response to acute, severe isovolemic anemia. JAMA 1998; 279: 217-21.
  3. Augoustides JG. Letter by Augoustides regarding article, "Increased mortality, postoperative morbidity, and cost after red blood cell transfusion in patients having cardiac surgery". Circulation 2008; 117(25): e506.
  4. Livio M, Gotti E, Marchesi D, Mecca G, Remuzzi G, de Gaetano G. Uraemic bleeding: role of anaemia and beneficial effect of red cell transfusions. Lancet 1982; 2(8306): 1013-5.
  5. Boneu B, Fernandez F. The role of the hematocrit in bleeding. Transfus Med Rev 1987; 1(3): 182-5.
  6. Adams RC, Lundy JS. Anesthesia in cases of poor surgical risk: some suggestions for decreasing the risk. Surg Gynecol Obstet 1942; 74: 1-10.
  7. Chapler CK, Cain SM. The physiologic reserve in oxygen carrying capacity: studies in experimental hemodilution. Can J Physiol Pharmacol 1986; 64: 7-12.
  8. Shander A, Rijhwani TS. Clinical outcomes in cardiac surgery: conventional surgery versus bloodless surgery. Anesthesiol Clin North America 2005; 23(2): 327-45.
  9. Ferraris VA, Ferraris SP, Saha SP, Hessel EA 2nd, Haan CK, Royston BD, et al. Perioperative blood transfusion and blood conservation in cardiac surgery: the Society of Thoracic Surgeons and The Society of Cardiovascular Anesthesiologists clinical practice guideline. Ann Thorac Surg 2007; 83(5 Suppl): S27-86.
  10. Rawn JD. Blood transfusion in cardiac surgery: a silent epidemic revisited. Circulation 2007; 116(22): 2523-4.
  11. Horvath KA, Acker MA, Chang H, Bagiella E, Smith PK, Iribarne A, et al. Blood transfusion and infection after cardiac surgery. Ann Thorac Surg 2013; 95(6): 2194-201.
  12. Taylor RW, Manganaro L, O'Brien J, Trottier SJ, Parkar N, Veremakis C. Impact of allogenic packed red blood cell transfusion on nosocomial infection rates in the critically ill patient. Crit Care Med 2002; 30: 2249-54.
  13. Surgenor DM1, Churchill WH, Wallace EL, Rizzo RJ, Chapman RH, McGurk S, et al. Determinants of red cell, platelet plasma, and cryoprecipitate transfusions during coronary artery bypass graft surgery the Collaborative Hospital Transfusion Study. Transfusion 1996; 36: 521-32.
  14. Utley JR, Wallace DJ, Thomason ME, Mutch DW, Staton L, Brown V, et al. Correlates of preoperative hematocrit value in patients undergoing coronary artery bypass. J Thorac Cardiovasc Surg 1989; 98: 451-3.
  15. Legare JF, Buth KJ, King S, Wood J, Sullivan JA,
Hancock FriesenC, et al.  Coronary bypass surgery performed off pump does not result in lower in- hospital morbidity than coronary artery bypass grafting performed on pump. Circulation 2004; 109(7): 887-92.
  1. Rogers MA, Blumberg N, Saint S, Langa KM, Nallamothu BK. Hospital variation in transfusion and infection after cardiac surgery: a cohort study. BMC Med 2009; 7: 37.
  2. Snyder-Ramos SA, Mohnle P, Weng YS, Bottiger BW, Kulier A, Levin J, et al. The ongoing variability in blood transfusion practices in cardiac surgery. Transfusion 2008; 48(7): 1284-99.
  3. Karkouti K, Cohen MM, McCluskey SA, Sher GD. A multivariable model for predicting the need for blood transfusion in patients undergoing first-time elective coronary bypass graft surgery. Transfusion 2001; 41(10): 1193-203.
  4. Magovern JA, Sakert T, Benckart DH, Burkholder JA, Liebler GA, Magovern GJ Sr, et al. A model for predicting transfusion after coronary artery bypass grafting. Ann Thorac Surg 1996; 61(1): 27-32.
  5. Utley JR. Pathophysiology of cardiopulmonary bypass: current issues. J Card Surg 1990; 5(3): 177-89.
  6. Shevde K, Pagala M, Kashikar A, Tyagaraj C, Shahbaz N, Iqbal M, et al. Gender is an essential determinant of blood transfusion in patients undergoing coronary artery bypass graft procedure. J Clin Anesth 2000; 12(2): 109-16.
  7. van Straten AH, Kats S, Bekker MW, Verstappen F, ter Woorst JF, van Zundert AJ, et al. Risk factors for red blood cell transfusion after coronary artery bypass graft surgery. J Cardiothorac Vasc Anesth 2010; 24(3): 413-7.
  8. Greinacher A, Fendrich K, Hoffmann W. Demographic changes: the impact for safe blood supply. Transfus Med Hemother 2010; 37(3): 141-8.
  9. Vamvakas EC, Taswell HF. Epidemiology of blood transfusion. Transfusion 1994; 34(6): 464-70.
  10. Wallis JP, Wells AW, Matthews JN, Chapman CE. Long-term survival after blood transfusion: a population based study in the North of England. Transfusion 2004; 44(7): 1025-32.
  11. Ferraris VA, Gildengorin V. Predictors of excessive blood use after coronary artery bypass grafting. A multivariate analysis. J Thorac Cardiovasc Surg 1989; 98(4): 492–7.
  12. Parr KG, Patel MA, Dekker R, Levin R, Glynn R, Avorn J, et al. Multivariate predictors of blood product use in cardiac surgery. J Cardiothorac Vasc Anesth 2003; 17(2): 176-81.
  13. Aydınlı B, Demir A, Güçlü ÇYBölükbaşı DÜnal EUKoçulu R, et al. Hematological predictors and clinical outcomes in cardiac surgery. J Anesth 2016; 30(5): 770-8.
  14. Elmistekawy ME, Errett L, Fawzy HF. Predictors of packed red cell transfusion after isolated primary coronary artery bypass grafting--the experience of a single cardiac center: a prospective observational study. J Cardiothorac Surg 2009; 4: 20.
  15. Galas FR, Almeida JP, Fukushima JT, Osawa EA, Nakamura RE, Silva CM, et al. Blood transfusion in cardiac surgery is a risk factor for increased hospital length of stay in adult patients. J Cardiothorac Surg 2013; 8: 54.
 


 
 
 
 
Sci J Iran Blood Transfus Organ 2017; 14(3): 188-194
Original Article
 

 

Evaluation of blood use in cardiac surgery
 
Shahbazi M.1, Chegini A.1, Ahmadinejad M.1
 
 
1Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
 
 
 
 
Abstract
Background and Objectives
Blood transfusion plays an important role in cardiac surgery. Cardiac surgery, though being practiced for only a minority of hospitalized patients, accounts for the use of more than 80% of blood components.
 
Materials and Methods
A prospective study was carried out during October 2015 to March 2016 in Shahid Modares Hospital. Blood utilization trends in different types of cardiac surgery were observed and the variables such as age, gender, Hemoglubin (Hb), Hematocrit (Hct), Body Surface Area (BSA) and their effects on transfusion were studied. Data were analyzed by SPSS (version 22) software. K2 test and Mann-Whitney U test were used.
 
Results
The patients with Hb and Hct levels lower than 11 gr/dL and 33% were the ones who received transfusion more than the others (p value < 0.001). Type of surgery affected the use of blood. The most common surgery in our study was CABG (71.6%)  that accounted for the use of 1 to 7 units (the mean rate of 3.3 units).
 
Conclusions 
A lower number of blood units was shown to be administered during surgery to the patients with higher Hb and Hct levels and larger BSA.
 
Key words: Cardiac Surgery, Red Blood Cell Transfusion, Blood Transfusion
 
 
 
 
 
 
 
 
 
 
Received:    4 Sep 2016
Accepted: 12 Aug 2017
 
 

Correspondence: Chegini A., MD. Specialist in Anesthesiology. Assistant Professor of Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine.
P.O.Box: 14665-1157, Tehran, Iran. Tel: (+9821) 82052256; Fax: (+9821) 88601599
E-mail: a.chegini@ibto.ir
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Shahbazi M, Chegini A, Ahmadinejad M. Evaluation of blood use in cardiac surgery . Sci J Iran Blood Transfus Organ 2017; 14 (3) :188-194
URL: http://bloodjournal.ir/article-1-1063-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 14, Issue 3 (Atumn 2017) Back to browse issues page
فصلنامه پژوهشی خون Scientific Journal of Iran Blood Transfus Organ
The Scientific Journal of Iranian Blood Transfusion Organization - Copyright 2006 by IBTO
Persian site map - English site map - Created in 0.06 seconds with 39 queries by YEKTAWEB 4645