Intraoperative and immediate postoperative transfusion: Clinical-hematological profile of transfunded patients in a university hospital - 18/04/24
Highlights |
• | Significant Transfusion Rates: 25.44% of patients undergoing elective surgeries required intraoperative or immediate postoperative blood transfusions, indicating a critical need for blood reserve management in surgical settings. |
• | Pre-Surgical Hemoglobin as a Predictor: Patients with higher pre-surgical hemoglobin levels were less likely to need transfusions, underscoring the importance of pre-operative anemia management. |
• | Diverse Surgical Needs: The study found a higher prevalence of transfusions in oncological surgeries compared to other types, highlighting varying blood component needs across surgical categories. |
• | Blood Utilization Efficiency: The research revealed inefficiencies in blood utilization, with a high ratio of requested to transfused blood units, particularly in red blood cell concentrates. |
• | Trend Towards Restrictive Transfusion Practices: The study aligns with global trends towards more restrictive blood transfusion practices, especially in cancer surgeries where transfusion probabilities are higher. |
Abstract |
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.
Le texte complet de cet article est disponible en PDF.Keywords : Blood transfusion, Intraoperative period, General surgery
Plan
Vol 31 - N° 2
P. 102-107 - mai 2024 Retour au numéro
Article précédent
- Expression of microRNAs during apheresis platelet storage up to day 14 in a blood bank in China
- Jie Shi, Anqi Xu, Jun Ai, Jin Chen, Ying Luo
- The role and importance of epidemiology in transfusion medicine
- Constantina Politis, Tomislav Vuk, Clive Richardson, Lida Politi, Olivier Garraud
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