Cargando…

Red Blood Cell Transfusion Need for Elective Primary Posterior Lumbar Fusion in A High-Volume Center for Spine Surgery

(1) Background: This study evaluated the perioperative red blood cell (RBC) transfusion need and determined predictors for transfusion in patients undergoing elective primary lumbar posterior spine fusion in a high-volume center for spine surgery. (2) Methods: Data from all patients undergoing spine...

Descripción completa

Detalles Bibliográficos
Autores principales: Ristagno, Giuseppe, Beluffi, Simonetta, Tanzi, Dario, Belloli, Federica, Carmagnini, Paola, Croci, Massimo, D’Aviri, Giuseppe, Menasce, Guido, Pastore, Juan C., Pellanda, Armando, Pollini, Alberto, Savoia, Giorgio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852435/
https://www.ncbi.nlm.nih.gov/pubmed/29385760
http://dx.doi.org/10.3390/jcm7020019
_version_ 1783306571314364416
author Ristagno, Giuseppe
Beluffi, Simonetta
Tanzi, Dario
Belloli, Federica
Carmagnini, Paola
Croci, Massimo
D’Aviri, Giuseppe
Menasce, Guido
Pastore, Juan C.
Pellanda, Armando
Pollini, Alberto
Savoia, Giorgio
author_facet Ristagno, Giuseppe
Beluffi, Simonetta
Tanzi, Dario
Belloli, Federica
Carmagnini, Paola
Croci, Massimo
D’Aviri, Giuseppe
Menasce, Guido
Pastore, Juan C.
Pellanda, Armando
Pollini, Alberto
Savoia, Giorgio
author_sort Ristagno, Giuseppe
collection PubMed
description (1) Background: This study evaluated the perioperative red blood cell (RBC) transfusion need and determined predictors for transfusion in patients undergoing elective primary lumbar posterior spine fusion in a high-volume center for spine surgery. (2) Methods: Data from all patients undergoing spine surgery between 1 January 2014 and 31 December 2016 were reviewed. Patients’ demographics and comorbidities, perioperative laboratory results, and operative time were analyzed in relation to RBC transfusion. Multivariate logistic regression analysis was performed to identify the predictors of transfusion. (3) Results: A total of 874 elective surgeries for primary spine fusion were performed over the three years. Only 54 cases (6%) required RBC transfusion. Compared to the non-transfused patients, transfused patients were mainly female (p = 0.0008), significantly older, with a higher ASA grade (p = 0.0002), and with lower pre-surgery hemoglobin (HB) level and hematocrit (p < 0.0001). In the multivariate logistic regression, a lower pre-surgery HB (OR (95% CI) 2.84 (2.11–3.82)), a higher ASA class (1.77 (1.03–3.05)) and a longer operative time (1.02 (1.01–1.02)) were independently associated with RBC transfusion. (4) Conclusions: In the instance of elective surgery for primary posterior lumbar fusion in a high-volume center for spine surgery, the need for RBC transfusion is low. Factors anticipating transfusion should be taken into consideration in the patient’s pre-surgery preparation.
format Online
Article
Text
id pubmed-5852435
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-58524352018-03-19 Red Blood Cell Transfusion Need for Elective Primary Posterior Lumbar Fusion in A High-Volume Center for Spine Surgery Ristagno, Giuseppe Beluffi, Simonetta Tanzi, Dario Belloli, Federica Carmagnini, Paola Croci, Massimo D’Aviri, Giuseppe Menasce, Guido Pastore, Juan C. Pellanda, Armando Pollini, Alberto Savoia, Giorgio J Clin Med Article (1) Background: This study evaluated the perioperative red blood cell (RBC) transfusion need and determined predictors for transfusion in patients undergoing elective primary lumbar posterior spine fusion in a high-volume center for spine surgery. (2) Methods: Data from all patients undergoing spine surgery between 1 January 2014 and 31 December 2016 were reviewed. Patients’ demographics and comorbidities, perioperative laboratory results, and operative time were analyzed in relation to RBC transfusion. Multivariate logistic regression analysis was performed to identify the predictors of transfusion. (3) Results: A total of 874 elective surgeries for primary spine fusion were performed over the three years. Only 54 cases (6%) required RBC transfusion. Compared to the non-transfused patients, transfused patients were mainly female (p = 0.0008), significantly older, with a higher ASA grade (p = 0.0002), and with lower pre-surgery hemoglobin (HB) level and hematocrit (p < 0.0001). In the multivariate logistic regression, a lower pre-surgery HB (OR (95% CI) 2.84 (2.11–3.82)), a higher ASA class (1.77 (1.03–3.05)) and a longer operative time (1.02 (1.01–1.02)) were independently associated with RBC transfusion. (4) Conclusions: In the instance of elective surgery for primary posterior lumbar fusion in a high-volume center for spine surgery, the need for RBC transfusion is low. Factors anticipating transfusion should be taken into consideration in the patient’s pre-surgery preparation. MDPI 2018-01-30 /pmc/articles/PMC5852435/ /pubmed/29385760 http://dx.doi.org/10.3390/jcm7020019 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ristagno, Giuseppe
Beluffi, Simonetta
Tanzi, Dario
Belloli, Federica
Carmagnini, Paola
Croci, Massimo
D’Aviri, Giuseppe
Menasce, Guido
Pastore, Juan C.
Pellanda, Armando
Pollini, Alberto
Savoia, Giorgio
Red Blood Cell Transfusion Need for Elective Primary Posterior Lumbar Fusion in A High-Volume Center for Spine Surgery
title Red Blood Cell Transfusion Need for Elective Primary Posterior Lumbar Fusion in A High-Volume Center for Spine Surgery
title_full Red Blood Cell Transfusion Need for Elective Primary Posterior Lumbar Fusion in A High-Volume Center for Spine Surgery
title_fullStr Red Blood Cell Transfusion Need for Elective Primary Posterior Lumbar Fusion in A High-Volume Center for Spine Surgery
title_full_unstemmed Red Blood Cell Transfusion Need for Elective Primary Posterior Lumbar Fusion in A High-Volume Center for Spine Surgery
title_short Red Blood Cell Transfusion Need for Elective Primary Posterior Lumbar Fusion in A High-Volume Center for Spine Surgery
title_sort red blood cell transfusion need for elective primary posterior lumbar fusion in a high-volume center for spine surgery
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852435/
https://www.ncbi.nlm.nih.gov/pubmed/29385760
http://dx.doi.org/10.3390/jcm7020019
work_keys_str_mv AT ristagnogiuseppe redbloodcelltransfusionneedforelectiveprimaryposteriorlumbarfusioninahighvolumecenterforspinesurgery
AT beluffisimonetta redbloodcelltransfusionneedforelectiveprimaryposteriorlumbarfusioninahighvolumecenterforspinesurgery
AT tanzidario redbloodcelltransfusionneedforelectiveprimaryposteriorlumbarfusioninahighvolumecenterforspinesurgery
AT bellolifederica redbloodcelltransfusionneedforelectiveprimaryposteriorlumbarfusioninahighvolumecenterforspinesurgery
AT carmagninipaola redbloodcelltransfusionneedforelectiveprimaryposteriorlumbarfusioninahighvolumecenterforspinesurgery
AT crocimassimo redbloodcelltransfusionneedforelectiveprimaryposteriorlumbarfusioninahighvolumecenterforspinesurgery
AT davirigiuseppe redbloodcelltransfusionneedforelectiveprimaryposteriorlumbarfusioninahighvolumecenterforspinesurgery
AT menasceguido redbloodcelltransfusionneedforelectiveprimaryposteriorlumbarfusioninahighvolumecenterforspinesurgery
AT pastorejuanc redbloodcelltransfusionneedforelectiveprimaryposteriorlumbarfusioninahighvolumecenterforspinesurgery
AT pellandaarmando redbloodcelltransfusionneedforelectiveprimaryposteriorlumbarfusioninahighvolumecenterforspinesurgery
AT pollinialberto redbloodcelltransfusionneedforelectiveprimaryposteriorlumbarfusioninahighvolumecenterforspinesurgery
AT savoiagiorgio redbloodcelltransfusionneedforelectiveprimaryposteriorlumbarfusioninahighvolumecenterforspinesurgery