Frequency, predictors, and appropriateness of blood transfusion after percutaneous coronary interventions

The American Journal of Cardiology
M MoscucciD W Muller

Abstract

Increased awareness of the risks of blood-borne infections has recently led to profound changes in the practice of transfusion medicine. These changes include, among others, the development of guidelines by the American College of Physicians (ACP) for transfusion. Although the incidence and predictors of vascular complications of percutaneous interventions have been well defined, there are currently no data on frequency, risk factors, and appropriateness of blood transfusions. We performed a retrospective analysis of 628 consecutive percutaneous coronary revascularization procedures. Predictors of blood transfusion were identified using multivariate logistic regression analysis. Appropriateness of transfusions was determined using modified ACP guidelines. Transfusions were administered after 8.9% of interventions (56 of 628). Multivariate analysis identified age >70 years, female gender, procedure duration, coronary stenting, acute myocardial infarction, postprocedural use of heparin and intra-aortic balloon pump placement as independent predictors of blood transfusions (all p <0.05). According to the ACP guidelines, 36 of 56 patients (64%) received transfusions inappropriately. Transfusion reactions (fever) occurred in 10% of ...Continue Reading

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Citations

Sep 21, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Tobias GeislerGregg W Stone
Sep 4, 2008·Journal of Thrombosis and Thrombolysis·Vijayalakshmi KunadianC Michael Gibson
Jun 18, 2002·Pharmacotherapy·Anthony Compton
Mar 16, 2002·Transfusion·Sean M BerenholtzMichael J Klag
May 29, 2004·The American Journal of Cardiology·Stephen G EllisPatrick L Whitlow
Dec 19, 1998·Journal of the American College of Cardiology·R R AzarF J Kiernan
Sep 24, 2004·The Annals of Pharmacotherapy·Sara D Brouse, Vanessa G Wiesehan
Jan 30, 2008·Clinical Cardiology·William O'Neill
Nov 2, 2004·Obstetrics and Gynecology·Jeffrey A SilvermanJeannie L Callum

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