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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...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
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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 |
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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 |
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