A Restrictive Blood Transfusion Strategy and Patient Blood Management Improved Clinical Outcomes in Cardiac Surgery Patients

Yarahmadi, Sajad; Najafizadeh, Hassan; Teimouri, Hassan

doi:10.5812/jamm.114661

Cited by 1 publication

(1 citation statement)

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“…Despite the famous policy of restrictive blood transfusion during cardiac surgery, there are many factors leading to increased RCC transfusions like dilutional anaemia, coagulation disorders due to concomitant use of aspirin and anticoagulants, infection/ sepsis and hypothermia. 12 According to our results, the rate of RCC transfusions is 43% which is similar to a previous study conducted by Suleman, Samad and Ullah 13 , however, we only took into consideration RCC transfusions while platelets, FFPs and cryoprecipitate transfusions were not included in our study. The call to administer an RCC transfusion is jointly made by the cardiac surgeon and the consultant anaesthetist by taking into account the American Heart Association (AHA) guidelines and their work expertise over the years.…”

Section: Discussionsupporting

confidence: 84%

Impact of Blood Transfusion on Postoperative Infection and Hospital Stay after Isolated Coronary Artery Bypass Surgery

Bashir¹,

Farogh²,

Khan³

et al. 2023

PJMHS

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Objective: The blood transfusion during cardiac surgeries has been demonstrated to be increased in length of hospital stay. The aim of current study was to characterize the post-operative complication. Methodology: A descriptive study was conducted at Cardiac Centre Bahawalpur from 1st February 2020 to 30th March, 2021 all patients were divided into two groups. who underwent cardiac surgery during this period Group A (No blood transfusion). Group B (low transfusion 1-2 units) Results: A total of 176 patients, 122 (69.3%) were male and 54 (30.7%) female. in our study there were 1(1%) in Group A while 5(6.6%) in Group B were found with post-operative infection with statistically significant p-value 0.049. Similarly, hospital stay in group A was 5.8 ± 1.3 while in Group B was 6.9 ± 0.3 showing insignificant p-value 0.067. Conclusion: A restrictive transfusion policy while considering RCC transfusion seems more useful and patients who require blood should receive the number of transfusions as minimum as possible. Keywords: RCC Red Cell Concentrates Transfusion, CABG Cardiac Artery Bypass Graft, LOH Length of Hospital Stay, restrictive blood transfusion.

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Section: Discussionsupporting

confidence: 84%