2019
DOI: 10.1053/j.jvca.2019.05.040
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Validation Study of the Transfusion Risk and Clinical Knowledge (TRACK) Tool in Cardiac Surgery Patients: A Retrospective Analysis

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Cited by 12 publications
(9 citation statements)
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“…Patient blood management is actually a cornerstone of blood conservation, especially at a pandemic time as actually caused by the severe acute respiratory syndrome coronavirus 2 9 . Recently, Leff et al 10 found an AUC of 0.817 (95% CI 0.800-0.835, p ≤ 0.001) for intraoperative transfusion of PRBCs according to TRACK Score, which is similar to the AUC of 0.81 (95% CI 0.79-0.84) identified in our cohort. This study was performed retrospectively in a high-volume, US-based cardiac surgical population of 2.776 patients over a six-year period and retrieved from the institutional Society of Thoracic Surgeons (STS) database; in this cohort, 21% of patients underwent complex surgery compared to 22.7% in our population.…”
Section: Discussionsupporting
confidence: 89%
“…Patient blood management is actually a cornerstone of blood conservation, especially at a pandemic time as actually caused by the severe acute respiratory syndrome coronavirus 2 9 . Recently, Leff et al 10 found an AUC of 0.817 (95% CI 0.800-0.835, p ≤ 0.001) for intraoperative transfusion of PRBCs according to TRACK Score, which is similar to the AUC of 0.81 (95% CI 0.79-0.84) identified in our cohort. This study was performed retrospectively in a high-volume, US-based cardiac surgical population of 2.776 patients over a six-year period and retrieved from the institutional Society of Thoracic Surgeons (STS) database; in this cohort, 21% of patients underwent complex surgery compared to 22.7% in our population.…”
Section: Discussionsupporting
confidence: 89%
“…We found an AUC of 0.678 (0.630 to 0.730) for TRACK, close to values of the Italian (0.710 [0.681 to 0.724]) and British (0.710 [0.710 to 0.720]) studies. AUC was 0.768 (0.750 to 0.785) in the American study, whereas the Indian study reported 0.756 (0.729 to 0.782) [ 5 , 10 , 16 , 17 ] . This comparison showed that the power of discrimination in the Brazilian population was worse than in other countries.…”
Section: Discussionmentioning
confidence: 76%
“…In the study conducted in Toronto, patients presented a mean Hb of 13.4 (± 1.55) mg/dl, whereas we found a value of 11.3 (± 2.2) mg/dl [ 6 ] . In another study, patients submitted to cardiac surgery using cardiopulmonary bypass in Portugal demonstrated a mean preoperative Ht of 41% (± 4.4), whereas our sample demonstrated 33.9% (± 6.5) [ 10 ] .…”
Section: Discussionmentioning
confidence: 84%
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“…the inclusion of features only available during surgery). [9][10][11][12][13][14][15] However, with an accurate prediction model, using a small number of preoperatively available features, it should be possible to identify patients prone to MPABT and adapt blood conservation pathways tailored to individual patient needs, thus reducing MPABT events.…”
Section: Introductionmentioning
confidence: 99%