دورية أكاديمية

Intraoperative and immediate postoperative transfusion: Clinical-hematological profile of transfunded patients in a university hospital.

التفاصيل البيبلوغرافية
العنوان: Intraoperative and immediate postoperative transfusion: Clinical-hematological profile of transfunded patients in a university hospital.
المؤلفون: Dos Santos Goiabeira L; Department of Medicine, Federal University of Rio Grande do Norte, Natal, Brazil., Meireles SS; Department of Medicine, Federal University of Rio Grande do Norte, Natal, Brazil., Leocadio ASS; Department of Medicine, Federal University of Rio Grande do Norte, Natal, Brazil., J S Medeiros H; Department of Anesthesiology, University Hospital Onofre Lopes, Natal, Brazil., Soares FC; Post-Graduation Program in Collective Health, Federal University of Rio Grande do Norte, Natal, Brazil., da Silva WA; Department of Anesthesiology, University Hospital Onofre Lopes, Natal, Brazil. Electronic address: wallaceandrino@yahoo.com.br.
المصدر: Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine [Transfus Clin Biol] 2024 May; Vol. 31 (2), pp. 102-107. Date of Electronic Publication: 2024 Mar 09.
نوع المنشور: Observational Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Country of Publication: France NLM ID: 9423846 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1953-8022 (Electronic) Linking ISSN: 12467820 NLM ISO Abbreviation: Transfus Clin Biol Subsets: MEDLINE
أسماء مطبوعة: Publication: Paris : Elsevier Science
Original Publication: Paris : Arnette Blackwell, c1994-
مواضيع طبية MeSH: Blood Transfusion* , Hemoglobins*/analysis, Humans ; Cross-Sectional Studies ; Hospitals ; Retrospective Studies ; Brazil
مستخلص: Introduction: The transfusion practice by surgery blood reserve, varied among services, must be performed through the rational and restrictive use of blood components because it is a scarce and expensive resource for health care services.
Objective: Analyze the use of blood products for surgery blood reserve by means of the study of the clinical-hematological profile of patients submitted to intraoperative and immediate postoperative transfusions.
Methods: This was an observational, cross-sectional, and retrospective study, conducted by collecting biological, operational, and laboratory variables, involving 680 patients at a university hospital who had elective surgery with surgery blood reserve request sent during the period from October 2021 to October 2022.
Results: The overall transfusion rate was 25.44%, and the mean preoperative hemoglobin level of transfused patients was 9.74 ± 2.50 g/dL, with the mean number of transfusions packed red blood cell units was 1.58 ± 0.77. Patients with higher preoperative hemoglobin levels were less likely to have transfusion (p < 0.001) and patients who had surgical oncologic were more likely to require transfusion (p = 0.048). The transfusion rate of packed red blood cells and platelets concentrates, compared to what was requested, was 15.86% and 5.82%.
Conclusion: There is a tendency of transfusions to follow restrictive models, with higher transfusion probability in surgical oncologic. Furthermore, there should be more a conscise use of the surgery blood reserves request.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Société française de transfusion sanguine (SFTS). Published by Elsevier Masson SAS. All rights reserved.)
فهرسة مساهمة: Keywords: Blood transfusion; General surgery; Intraoperative period
المشرفين على المادة: 0 (Hemoglobins)
تواريخ الأحداث: Date Created: 20240310 Date Completed: 20240422 Latest Revision: 20240620
رمز التحديث: 20240621
DOI: 10.1016/j.tracli.2024.03.003
PMID: 38462031
قاعدة البيانات: MEDLINE
الوصف
تدمد:1953-8022
DOI:10.1016/j.tracli.2024.03.003