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
References
Jan 1, 1992·Annals of Internal Medicine·M H SayersL E Silberstein
Aug 16, 1992·The New England Journal of Medicine·J G DonahueK E Nelson
Mar 1, 1992·Annals of Internal Medicine
Aug 1, 1991·Transplantation·J TsevatA S Levey
Jan 1, 1992·The American Journal of Cardiology·D W MullerE J Topol
Mar 1, 1992·Annals of Internal Medicine·H G WelchL T Goodnough
Jun 1, 1991·Journal of Occupational Medicine. : Official Publication of the Industrial Medical Association·J A MauskopfM T French
Oct 15, 1991·Annals of Internal Medicine·J M BarreraR Castillo
Dec 1, 1988·Journal of the American College of Cardiology·R M WymanD S Baim
Nov 11, 1988·JAMA : the Journal of the American Medical Association
May 20, 1971·The New England Journal of Medicine·A M PrinceD S David
Dec 28, 1995·The New England Journal of Medicine·E M LackritzL R Petersen
Oct 1, 1995·Journal of the American College of Cardiology·N A OmoiguiE J Topol
Sep 21, 1995·The New England Journal of Medicine·J A BittlB Adelman
Jun 15, 1995·Circulation·F V AguirreG Hanovich
Jan 15, 1995·Circulation·S C WongM B Leon
Oct 1, 1994·Anesthesia and Analgesia·D A LubarskyJ G Reves
Sep 1, 1994·The American Journal of Cardiology·M MoscucciJ P Carrozza
May 1, 1994·Journal of the American College of Cardiology·R N PianaJ P Carrozza
Oct 1, 1993·Circulation·J J PopmaM B Leon
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
Aug 28, 2009·Current Cardiology Reports·Mauro Moscucci
Jun 18, 2002·Pharmacotherapy·Anthony Compton
Jun 18, 2002·Pharmacotherapy·Amy L Seybert
Mar 16, 2002·Transfusion·Sean M BerenholtzMichael J Klag
Feb 24, 2015·JACC. Cardiovascular Interventions·Chun Shing KwokMamas A Mamas
May 29, 2004·The American Journal of Cardiology·Stephen G EllisPatrick L Whitlow
Jan 25, 2008·American Heart Journal·Sunil V RaoDaniel B Mark
Dec 26, 2007·The American Journal of Cardiology·Sunil V RaoRobert A Harrington
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
Feb 8, 2006·Circulation·Mauro MoscucciKim A Eagle
Jan 30, 2008·Clinical Cardiology·William O'Neill
Jan 30, 2008·Clinical Cardiology·Hector M Medina, Deepak L Bhatt
Jan 30, 2008·Clinical Cardiology·Sandeep M JaniMauro Moscucci
Jan 30, 2008·Clinical Cardiology·Peter KimWilliam O'Neill
Jan 30, 2008·Clinical Cardiology·Stanley J ChetcutiMauro Moscucci
Nov 2, 2004·Obstetrics and Gynecology·Jeffrey A SilvermanJeannie L Callum