Effects of cardiopulmonary bypass circuit shortening on transfusion reduction : a retrospective cohort study in the cardiac surgery patients
المؤلفون المشاركون
Atilgan, Kivanc
Demirdas, Ertan
المصدر
Iranian Red Crescent Medical Journal
العدد
المجلد 21، العدد 7 (31 يوليو/تموز 2019)، ص ص. 1-7، 7ص.
الناشر
تاريخ النشر
2019-07-31
دولة النشر
الإمارات العربية المتحدة
عدد الصفحات
7
التخصصات الرئيسية
الموضوعات
الملخص EN
Background: Hemodilution anemia, due to the use of crystalloid liquids during the preparation of cardiopulmonary bypass (CPB) circuits, results in the increased number of RBC, which may lead to hemolysis, acute pulmonary injury, allergic reactions, metabolic and coagulative abnormalities, volume overload, alloimmunization, immunosuppression, graft versus host reaction, and a remarkable increase in hospitalization costs.
Objectives: The present study aimed to evaluate the effects of shortened cardiopulmonary bypass circuits on the blood salvage process in patients undergoing cardiac surgery with cardiopulmonary bypass and determine the cutoff BSA value for effectiveness.
Methods: A retrospective cohort study was performed in a private hospital, Ankara, Turkey, between January 2011 and November 2015 to assess 235 patients having a CPB with shortened circuits.
The control group comprised 240 patients who underwent cardiac surgery utilizing a standard extracorporeal circulation circuit at our institution.
In the case group, to achieve a low-priming volume, the CPB circuit was shortened and CPB console was positioned as close as possible to the operative field.
The arterial line (3/8”) and the venous line (1/2) were 80 cm and 90 cm, respectively, shorter in the case group than in the control group.
Patient data were collected by retrospective medical chart review.
Results: Intraoperative red blood cell (RBC) transfusion amount was 465141.5 mL in the case group and 722.5285.4 mL in the control group (P < 0.001).
Postoperative RBC transfusion was 418.7198.1 mL in the case group and 628.7452.3 mL in the control group (P < 0.001).
The total amount of RBC transfusion was 742.4228.7 mL in the case group and 1012.3625.5 mL in the control group (P < 0.001).
ROC analysis showed that shortening the CPB circuits was effective in patients with a BSA of < 1.67 (AUC = 0.84; P < 0.001) Conclusions: Shortening of the CPB circuit could be helpful to avoid severe hemodilution and to reduce RBC use in small adult patients (with BSA < 1.67) undergoing cardiac surgery with cardiopulmonary bypass.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Atilgan, Kivanc& Demirdas, Ertan. 2019. Effects of cardiopulmonary bypass circuit shortening on transfusion reduction : a retrospective cohort study in the cardiac surgery patients. Iranian Red Crescent Medical Journal،Vol. 21, no. 7, pp.1-7.
https://search.emarefa.net/detail/BIM-892347
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Atilgan, Kivanc& Demirdas, Ertan. Effects of cardiopulmonary bypass circuit shortening on transfusion reduction : a retrospective cohort study in the cardiac surgery patients. Iranian Red Crescent Medical Journal Vol. 21, no. 7 (Jul. 2019), pp.1-7.
https://search.emarefa.net/detail/BIM-892347
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Atilgan, Kivanc& Demirdas, Ertan. Effects of cardiopulmonary bypass circuit shortening on transfusion reduction : a retrospective cohort study in the cardiac surgery patients. Iranian Red Crescent Medical Journal. 2019. Vol. 21, no. 7, pp.1-7.
https://search.emarefa.net/detail/BIM-892347
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Text in English ; abstracts in .
رقم السجل
BIM-892347
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر