ABO blood group is related to bleeding in cardiac surgery

Acta Anaesthesiologica Scandinavica
Søren Mose HansenClaus Andersen

Abstract

Increased bleeding and blood product transfusions during cardiac surgery are associated with poor outcomes. The patient's ABO blood group is related to hemostatic balance, although it is unclear whether this influences bleeding during cardiac surgery. This study aimed to evaluate whether ABO blood group is related to bleeding during cardiac surgery. This retrospective study evaluated data from 17,058 cardiac surgical procedures that were performed in four Danish cardiosurgical centers. Data regarding chest tube drainage and transfusion volumes were retrieved from a clinical database and combined with information regarding ABO group. The primary outcome was chest tube drainage volume and the secondary outcomes were transfused volumes of various blood products. Blood group O had the largest chest tube drainage volume (mean: 745 mL, 95% CI: 720-771 mL) and blood group AB had the smallest volume (mean: 664 mL, 95% CI: 598-731mL). The inter-group difference in the mean drainage volume was 81 mL (95% CI: 8-154 mL, p<0.05). Patients with blood group A or blood group B had mean drainage volumes that were between the volumes for groups AB and O. Relative to group O, group AB received smaller mean volumes of all blood products. The most ...Continue Reading

References

Nov 6, 2007·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·Ian J WelsbyUNKNOWN Cardiothoracic Anesthesiology Research Endeavours (C.A.R.E.), Department of Anesthesiology, Duke University Medical Center
Dec 28, 2007·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Jerri L RibeiroIsrael Roisenberg
Jan 10, 2013·Seminars in Thrombosis and Hemostasis·Francesco DentaliMassimo Franchini
May 16, 2013·The Annals of Thoracic Surgery·Marco RanucciUNKNOWN Surgical and Clinical Outcome Research (SCORE) Group
Jun 18, 2014·Journal of Thrombosis and Thrombolysis·Ian J WelsbyMark Stafford-Smith

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