초록접수 현황
| 17F-170 | 포럼 발표 |
Effects of Preoperative Autologous Blood Donation in Patients Undergoing Open Heart Surgery.
Hyung Gon Je¹, Mi Hee Lim¹, Sang-Kwon Lee¹, Ji Hye Lee², Hye Lim Oh²
¹Department of Cardiovascular and Thoracic Surgery, Pusan National University Yangsan Hospital, Pusan National University College of Medicine, Gyeongsangnam-do, Republic of Korea., ²Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University College of Medicine, Gyeongsangnam-do, Republic of Korea
Purpose : In general, cardiac surgery requires the allogeneic blood transfusion, which can lead to a variety of complications. Preoperative autologous blood donation(PABD) is considered to be an effective solution reducing the transfusion. The aim of this study was to evaluate the effect of additional PABD on the rate of transfusion and the postoperative progress.
Methods : Because we started a PABD program since January 2016, we conduct this retrospective analysis between January 2015 and June 2017 using prospectively collected database. Among 350 consecutive patients who underwent cardiac surgery by a single surgeon, we compared the patients with PABD program, if such existed, from January to December 2015 (group I,n=45) to the patients with PADB program between January 2016 and June 2017 (group Ⅱ,n=75) after considering the exclusion criteria. The primary outcomes were the transfusion rate and the postoperative results.
Results : Groups I and II were similar in terms of age, EuroSCORE II and left ventricular ejection fraction. Most of the surgery was performed with MICS approach in both groups. Other preoperative characteristics were comparable. However, the hemoglobin before surgery was significantly lower in patients PABD. The in-hospital mortality rate was 0%. No significant difference was observed in terms of hospital stay, postoperative complications. The incidence of perioperative transfusion and postoperative hemoglobin level were also comparable (Table).
Conclusion : Because incomplete recovery of hemoglobin levels after PABD and high proportion of MICS approach, the additional PABD did not reduce the incidence of transfusion. The additional PABD may not have any benefit for low risk, elective, MICS population.
Methods : Because we started a PABD program since January 2016, we conduct this retrospective analysis between January 2015 and June 2017 using prospectively collected database. Among 350 consecutive patients who underwent cardiac surgery by a single surgeon, we compared the patients with PABD program, if such existed, from January to December 2015 (group I,n=45) to the patients with PADB program between January 2016 and June 2017 (group Ⅱ,n=75) after considering the exclusion criteria. The primary outcomes were the transfusion rate and the postoperative results.
Results : Groups I and II were similar in terms of age, EuroSCORE II and left ventricular ejection fraction. Most of the surgery was performed with MICS approach in both groups. Other preoperative characteristics were comparable. However, the hemoglobin before surgery was significantly lower in patients PABD. The in-hospital mortality rate was 0%. No significant difference was observed in terms of hospital stay, postoperative complications. The incidence of perioperative transfusion and postoperative hemoglobin level were also comparable (Table).
Conclusion : Because incomplete recovery of hemoglobin levels after PABD and high proportion of MICS approach, the additional PABD did not reduce the incidence of transfusion. The additional PABD may not have any benefit for low risk, elective, MICS population.
책임저자: Hyung Gon Je
Department of Cardiovascular and Thoracic Surgery, Pusan National University Yangsan Hospital, Pusan National University College of Medicine, Gyeongsangnam-do, Republic of Korea
발표자: Mi Hee Lim, E-mail : smmh1008@gmail.com