2020
DOI: 10.1155/2020/8246309
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Blood Management and Risk Assessment for Transfusion in Pediatric Spinal Deformity Surgery

Abstract: Objectives. Evaluate the impact of a Quality and Safety Program (QSP) on the reduction of blood loss and transfusion needs in pediatric spinal deformity surgery, while defining risk factors for transfusion. Background. Multimodal plan aiming to minimize transfusion needs has been shown to reduce transfusions and index rates in spinal deformity surgery. Anticipating blood loss and transfusion may help direct resources to patient needs or encourage reconsideration of the surgical plan. Methods. This is a single-… Show more

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Cited by 7 publications
(24 citation statements)
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“…[1][2][3][4] Numerous studies in the spine surgery literature have focused on complication prediction and reduction, with an increased focus on those areas with the highest complication rates, namely spinal oncology and spinal deformity. [5][6][7][8][9][10] There is growing evidence supporting a dual attending surgeon approach for spinal deformity operations, [11][12][13][14][15][16][17][18][19][20][21][22] with putative benefits of decreased estimated blood loss (EBL), decreased operative time, and reduced complications. Given these findings, we sought to investigate whether these same benefits can be seen in more complex spinal oncology operations.…”
mentioning
confidence: 99%
“…[1][2][3][4] Numerous studies in the spine surgery literature have focused on complication prediction and reduction, with an increased focus on those areas with the highest complication rates, namely spinal oncology and spinal deformity. [5][6][7][8][9][10] There is growing evidence supporting a dual attending surgeon approach for spinal deformity operations, [11][12][13][14][15][16][17][18][19][20][21][22] with putative benefits of decreased estimated blood loss (EBL), decreased operative time, and reduced complications. Given these findings, we sought to investigate whether these same benefits can be seen in more complex spinal oncology operations.…”
mentioning
confidence: 99%
“…In their study, mean preoperative haemoglobin values were higher in patients without transfusion than in those with transfusion (13.70 g/dL versus 12.75 g/dL, p = 0.000). Fernandez et al [ 44 ] also reported lower probability of transfusion with higher preoperative haemoglobin. Apart from that, usage of cell salvage system resulted in reduced need for blood transfusion [ 45 ].…”
Section: Discussionmentioning
confidence: 99%
“…It must also be noted that although we observed an increase in blood transfusion incidence as number of osteotomies performed increased, the authors feel that it would not be feasible to perform one procedure at a time given the arduous recovery and postoperative protocols associated with each individual procedure, thereby providing decreased quality of life to patients. Blood loss and blood transfusion after spinal surgery in the pediatric population has been studied frequently [12][13][14][15][16], but not many studies have looked at the incidence and risk factors after neuromuscular hip reconstruction surgery.…”
Section: Discussionmentioning
confidence: 99%