Restrictive blood transfusion protocol in malignant upper gastrointestinal and pancreatic resections patients reduces blood transfusions with no increase in patient morbidity - 08/12/15
Abstract |
Background |
The purpose of this study was to determine the impact of a restrictive blood transfusion protocol on the number of transfusions performed and the related effect on patient morbidity.
Methods |
A cohort study was performed using our prospective database with information from January 1, 2000, to June 1, 2013. The restrictive blood transfusion protocol was implemented in September 2011, so this date served as the separation point for the date of operation criteria.
Results |
For the study, 415 patients undergoing operation for an abdominal malignancy were reviewed. After the restrictive blood transfusion protocol, the percentage of patients who received blood dropped from 35.6% to 28.3%. The percentage of patients who experienced perioperative complication was significantly higher in transfused patients compared with those who did not receive blood (P = .0001). There was no statistical significance observed between the 5 groups for the length of stay at the hospital after their procedure.
Conclusions |
The restrictive blood transfusion protocol resulted in a reduction of the percentage of patients transfused, and there was no evidence to suggest that it negatively affected the outcomes of patients in this group.
Le texte complet de cet article est disponible en PDF.Keywords : Esophagectomy, Gastrectomy, Hepatectomy, Pancreatectomy, Blood transfusion, Complications
Plan
| This study was supported by grant from National Institutes of Health/National Cancer Institute R25-CA134283. This research was also supported by the Division of Surgical Oncology. |
Vol 210 - N° 6
P. 1197-1205 - décembre 2015 Retour au numéro
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