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:: Volume 19, Issue 2 (Summer 2022) ::
Sci J Iran Blood Transfus Organ 2022, 19(2): 99-107 Back to browse issues page
Evaluation of blood products utilization in abdominal aortic aneurysm repair patients’ elective surgery in ShohadaTajrish Hospital
S. Valizadeh , A. Chegini , F. Behnaz , R. Karbalaeifar , A.A. Pourfatholah
Keywords: Blood Transfusion, Aortic Aneurysm, Red Blood Cells, Fresh Frozen Plasma, Platelets, Surgery
Full-Text [PDF 508 kb]   (383 Downloads)     |   Abstract (HTML)  (889 Views)
Type of Study: Research | Subject: Blood transfusion medicine
Published: 2022/07/1
Full-Text:   (961 Views)
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Sci J Iran Blood Transfus Organ 2022;19 (2): 99-107
Original Article
 

Evaluation of blood products utilization in abdominal aortic aneurysm repair patients’ elective surgery in Shohada  Tajrish Hospital

Valizadeh S.1, Chegini A.1, Behnaz F.2, Karbalaiefar R.3, Pourfathollah A.A.4

1Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
2Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Shohada Tajrish Hospital, Tehran, Iran
4Faculty of Medicine, Tarbiat Modares University, Tehran, Iran



Abstract
Background and Objectives
Aortic aneurysm repair surgery (AAAs) is associated with massive bleeding that causes coagulation disorders during and after surgery. Considering that blood consumption in these patients has been studied in a few articles, we decided to investigate more.

Materials and Methods
In a cross-sectional study, patients with abdominal aortic aneurysms requiring surgical repair from January 2018 to August 2020 were evaluated at Shohada-e-Tajrish Hospital. The blood component utilization was evaluated. Graph Pad prism 9.0.0 (121) software was used for statistical analysis (p < 0.05 was considered significant).

Results
Of 20 patients with aortic aneurysm repair, 16 (80%) were male and 4 (20%) were female. Seven cases (35%) of them received Fresh frozen plasma (FFP) in addition to packed red blood cells (PRBCs). The mean of FFP utilization was 3.7 ± 1.5 units and in 13 patients (65%) only PRBcs were transfused. Platelets was not transfused in any of the patients. The relationship between red blood cells transfusion with the hemoglobin level before surgery and patient age was evaluated. Also, the relationship between INR before surgery and FFP transfusion was assessed, none of which was statistically significant.

Conclusions 
Despite extensive aortic artery surgery and massive bleeding, in 65% of patients only packed red blood cells were transfused. In 35% of patients, in addition to PRBC, FFP was transfused, but no platelets was administered.

Key words: Blood Transfusion, Aortic Aneurysm, Red Blood Cells, Fresh Frozen Plasma
Platelets, Surgery



Received:  29 Sep  2021
Accepted: 24 May 2022



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
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Valizadeh S, Chegini A, Behnaz F, Karbalaeifar R, Pourfatholah A. Evaluation of blood products utilization in abdominal aortic aneurysm repair patients’ elective surgery in ShohadaTajrish Hospital. Sci J Iran Blood Transfus Organ 2022; 19 (2) :99-107
URL: http://bloodjournal.ir/article-1-1391-en.html


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Volume 19, Issue 2 (Summer 2022) 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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