Blood transfusion practice in a referral cardiovascular center in tehran, iran: a critical point of view

Research in Cardiovascular Medicine
Alireza Alizadeh-GhavidelRasoul Azarfarin

Abstract

Unnecessary perioperative transfusions are likely to be related to increased morbidity and additional costs in cardiac surgery. The aim of this study was to evaluate the blood transfusion practice during and after adult cardiac surgery in a referral university hospital in Iran. In a descriptive study, we collected data from 153 adult patients underwent cardiac surgery at Rajaie Cardiovascular Medical and Research Center, Tehran, Iran from January to March 2013. The variables were patients' demographic, operative and post-operative data and the numbers of transfused packed red blood cell (PC) units and fresh frozen plasma (FFP) during and after cardiac surgery. Then we evaluated patients' and physicians' related causes of relatively increased transfusion rate in our patients and compared them with literature. Of 153 patients, 96.8% received PC and 54.9% transfused FFP during or after surgery. Most of the transfusions were done after operation in intensive care unit (ICU). Also, 20% and 17% of the patients underwent transfusion of more than 6 units of PC and FFP, respectively. The mean left ventricular ejection fraction of the patients was 42.5 ± 10.9%. A significant number of patients had anemia (especially women) or received an...Continue Reading

References

Jul 25, 2007·Annals of Cardiac Anaesthesia·Bharathi H Scott
Dec 30, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F BursiM G Modena
Mar 30, 2010·Transfusion·John D RobackUNKNOWN American Society of Hematology
Mar 22, 2012·Interactive Cardiovascular and Thoracic Surgery·Júlia ČanádyováAleš Mokráček
Jul 4, 2012·Annals of Internal Medicine·Jeffrey L CarsonUNKNOWN Clinical Transfusion Medicine Committee of the AABB
Mar 2, 2013·Interactive Cardiovascular and Thoracic Surgery·Richard WarwickMichael Poullis
Mar 30, 2013·Interactive Cardiovascular and Thoracic Surgery·Richard E ShawJuan B Grau
Apr 3, 2013·Annals of Cardiac Anaesthesia·Achal Dhir
May 16, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Maurice HoganToby Richards

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Citations

Jul 17, 2021·Indian Journal of Hematology & Blood Transfusion : an Official Journal of Indian Society of Hematology and Blood Transfusion·Elham Khalaf-AdeliSeyed Mostafa Alavi

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Methods Mentioned

BETA
coronary artery bypass

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