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:: Volume 12, Issue 1 (Spring 2015) ::
Sci J Iran Blood Transfus Organ 2015, 12(1): 63-69 Back to browse issues page
Multimodality blood conservation program: toward an experience of coronary artery graft surgery without blood transfusion
O. Assar , M.H. Kalantar Motamedi , I. Lotfian , V. Shakeri , S. Ghiasi , M. Salesi
Abstract:   (6092 Views)

  Abstract

 Background and Objectives

 Blood transfusion rate for coronary artery bypass grafting (CABG) accounts for more than 10%

 of all blood consumption. Studies have showed that combination of blood conservation methods

 together with the multimodality programs can reduce blood transfusion during the cardiac

 surgery. The aim of this study was to perform an audit of blood transfusion, determine the

 predictors of transfusion in CABG operation, and compare the predicted and injeced rate of blood

 transfusion as a method of quality assurance.

 

 Materials and Methods

 In this prospective observational study, 105 consecutive patients at Jamaran Heart Hospital from September 2012 to January 2013 were included. They were undergoing isolated, primary CABG by a single surgical team. The team were following a multimodality blood conservation strategy

 

 Results

 The predicted and injected blood rates were 24.1% and 13.3%, respectively. (OR = 0.48, CI = 0.26-1.4). Only 2% of patients required 2 units of packed cell and nobody received more than 2

 units of blood. Low patient weight (p = 0.010) and female gender (p = 0.032) were determined as two significant predictors of blood consumption.

 

 Conclusions

 Multimodality blood conservation program can reduce blood transfusion in the CABG operation.

 Thus, in the current era open heart surgery without blood transfusion is possible.

 

Keywords: Key words : Coronary Artery Bypass, Blood Transfusion, Cardiac Surgical Procedures, Blood
Full-Text [PDF 233 kb]   (1443 Downloads) |   |   Full-Text (HTML)  (1387 Views)  
Type of Study: Research | Subject: Blood Transfusion
Published: 2015/04/8
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Assar O, Kalantar Motamedi M, Lotfian I, Shakeri V, Ghiasi S, Salesi M. Multimodality blood conservation program: toward an experience of coronary artery graft surgery without blood transfusion . Sci J Iran Blood Transfus Organ 2015; 12 (1) :63-69
URL: http://bloodjournal.ir/article-1-815-en.html


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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 12, Issue 1 (Spring 2015) 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
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