Cargando…

Benefits of the use of blood conservation in scoliosis surgery

AIM: To investigate whether autologous blood transfusion (ABT) drains and intra-operative cell salvage reduced donor blood transfusion requirements during scoliosis surgery. METHODS: Retrospective data collection on transfusion requirements of patients undergoing scoliosis surgery is between January...

Descripción completa

Detalles Bibliográficos
Autores principales: Loughenbury, Peter R, Berry, Lyeanda, Brooke, Ben T, Rao, Abhay S, Dunsmuir, Robert A, Millner, Peter A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5155256/
https://www.ncbi.nlm.nih.gov/pubmed/28032033
http://dx.doi.org/10.5312/wjo.v7.i12.808
_version_ 1782474970552598528
author Loughenbury, Peter R
Berry, Lyeanda
Brooke, Ben T
Rao, Abhay S
Dunsmuir, Robert A
Millner, Peter A
author_facet Loughenbury, Peter R
Berry, Lyeanda
Brooke, Ben T
Rao, Abhay S
Dunsmuir, Robert A
Millner, Peter A
author_sort Loughenbury, Peter R
collection PubMed
description AIM: To investigate whether autologous blood transfusion (ABT) drains and intra-operative cell salvage reduced donor blood transfusion requirements during scoliosis surgery. METHODS: Retrospective data collection on transfusion requirements of patients undergoing scoliosis surgery is between January 2006 and March 2010. There were three distinct phases of transfusion practice over this time: Group A received “traditional treatment” with allogeneic red cell transfusion (ARCT) in response to an intra- or post-operative anaemia (Hb < 8 g/dL or a symptomatic anaemia); Group B received intra-operative cell salvage in addition to “traditional treatment”. In group C, ABT wound drains were used together with both intra-operative cell salvage and “traditional treatment”. RESULTS: Data from 97 procedures on 77 patients, there was no difference in mean preoperative haemoglobin levels between the groups (A: 13.1 g/dL; B: 13.49 g/dL; C: 13.66 g/dL). Allogeneic red cell transfusion was required for 22 of the 37 procedures (59%) in group A, 17 of 30 (57%) in group B and 16 of 30 (53%) in group C. There was an overall 6% reduction in the proportion of patients requiring an ARCT between groups A and C but this was not statistically significant (χ(2) = 0.398). Patients in group C received fewer units (mean 2.19) than group B (mean 2.94) (P = 0.984) and significantly fewer than those in group A (mean 3.82) (P = 0.0322). Mean length of inpatient stay was lower in group C (8.65 d) than in groups B (12.83) or A (12.62). CONCLUSION: When used alongside measures to minimise blood loss during surgery, ABT drains and intra-operative cell salvage leads to a reduced need for donor blood transfusion in patients undergoing scoliosis surgery.
format Online
Article
Text
id pubmed-5155256
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Baishideng Publishing Group Inc
record_format MEDLINE/PubMed
spelling pubmed-51552562016-12-29 Benefits of the use of blood conservation in scoliosis surgery Loughenbury, Peter R Berry, Lyeanda Brooke, Ben T Rao, Abhay S Dunsmuir, Robert A Millner, Peter A World J Orthop Case Control Study AIM: To investigate whether autologous blood transfusion (ABT) drains and intra-operative cell salvage reduced donor blood transfusion requirements during scoliosis surgery. METHODS: Retrospective data collection on transfusion requirements of patients undergoing scoliosis surgery is between January 2006 and March 2010. There were three distinct phases of transfusion practice over this time: Group A received “traditional treatment” with allogeneic red cell transfusion (ARCT) in response to an intra- or post-operative anaemia (Hb < 8 g/dL or a symptomatic anaemia); Group B received intra-operative cell salvage in addition to “traditional treatment”. In group C, ABT wound drains were used together with both intra-operative cell salvage and “traditional treatment”. RESULTS: Data from 97 procedures on 77 patients, there was no difference in mean preoperative haemoglobin levels between the groups (A: 13.1 g/dL; B: 13.49 g/dL; C: 13.66 g/dL). Allogeneic red cell transfusion was required for 22 of the 37 procedures (59%) in group A, 17 of 30 (57%) in group B and 16 of 30 (53%) in group C. There was an overall 6% reduction in the proportion of patients requiring an ARCT between groups A and C but this was not statistically significant (χ(2) = 0.398). Patients in group C received fewer units (mean 2.19) than group B (mean 2.94) (P = 0.984) and significantly fewer than those in group A (mean 3.82) (P = 0.0322). Mean length of inpatient stay was lower in group C (8.65 d) than in groups B (12.83) or A (12.62). CONCLUSION: When used alongside measures to minimise blood loss during surgery, ABT drains and intra-operative cell salvage leads to a reduced need for donor blood transfusion in patients undergoing scoliosis surgery. Baishideng Publishing Group Inc 2016-12-18 /pmc/articles/PMC5155256/ /pubmed/28032033 http://dx.doi.org/10.5312/wjo.v7.i12.808 Text en ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Control Study
Loughenbury, Peter R
Berry, Lyeanda
Brooke, Ben T
Rao, Abhay S
Dunsmuir, Robert A
Millner, Peter A
Benefits of the use of blood conservation in scoliosis surgery
title Benefits of the use of blood conservation in scoliosis surgery
title_full Benefits of the use of blood conservation in scoliosis surgery
title_fullStr Benefits of the use of blood conservation in scoliosis surgery
title_full_unstemmed Benefits of the use of blood conservation in scoliosis surgery
title_short Benefits of the use of blood conservation in scoliosis surgery
title_sort benefits of the use of blood conservation in scoliosis surgery
topic Case Control Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5155256/
https://www.ncbi.nlm.nih.gov/pubmed/28032033
http://dx.doi.org/10.5312/wjo.v7.i12.808
work_keys_str_mv AT loughenburypeterr benefitsoftheuseofbloodconservationinscoliosissurgery
AT berrylyeanda benefitsoftheuseofbloodconservationinscoliosissurgery
AT brookebent benefitsoftheuseofbloodconservationinscoliosissurgery
AT raoabhays benefitsoftheuseofbloodconservationinscoliosissurgery
AT dunsmuirroberta benefitsoftheuseofbloodconservationinscoliosissurgery
AT millnerpetera benefitsoftheuseofbloodconservationinscoliosissurgery