Prognostic analysis of perioperative zero red blood cell transfusion in patients with acute Stanford type A
Journal Title: Chinese Journal of Blood Transfusion - Year 2023, Vol 36, Issue 3
Abstract
Objective To investigate the correlation between perioperative zero red blood cell(RBC) transfusion and the prognosis of patients with acute Stanford type A aortic dissection. Methods A retrospective analysis was made on 96 patients who underwent one-stop Hybrid surgery for acute Stanford type A aortic dissection in our hospital from May 2021 to May 2022. The patients were divided into two groups according to whether they received perioperative RBC transfusion: zero RBC transfusion group (group A, n=26) and RBC transfusion group (group B, n=70). The preoperative general data and laboratory indexes were recorded and the propensity score matching method was used to screen the patients with the same preoperative baseline data, with comparison of operation-related indicators, intraoperative and postoperative blood component dosage and prognostic indicators. Results With BMI index, hemoglobin, platelet count, and troponin T as co variables, 48 patients were included in the study after matching according to 1∶1 propensity score: Group A (n=24) and Group B (n=24). Compared with group A, hemoglobin and hematocrit in group B decreased significantly at the end of operation and 24 h after operation, with a statistically significant difference (P<0.05). There was no significant difference between the two groups in operation-related indicators, intraoperative and postoperative blood component dosage, in-hospital mortality, continuous renal replacement therapy, incidence of infection and cerebral infarction (P>0.05). Conclusion The perioperative hemoglobin of patients with acute Stanford type A aortic dissection with zero RBC transfusion did not significantly decrease, and the postoperative complications and mortality did not increase.
Authors and Affiliations
Dan ZHAO, Lingyu KUAI, Chengsen CAI, Fuhai JI, Yufan YANG
Keywords
Related Articles
- EP ID EP738508
- DOI 10.13303/j.cjbt.issn.1004-549x.2023.03.009
- Views 46
- Downloads 0
Blood transfusion strategies in patients on extracorporeal membrane oxygenation
Objective To analyze the blood transfusion strategies in extracorporeal membrane oxygenation (ECMO) recievers in our hospital, so as to explore the clinical application and efficacy of blood transfusion in patients on EC...
Molecular epidemiology of HIV-1 among blood donors in Dalian: 2011~2020
Objective To investigate HIV-1 subtype distribution and trend among Dalian blood donors between 2011 and 2020, in order to provide information to improve blood safety and HIV prevention. Methods HIV RNA was purified from...
A survey on osmotic fragility of erythrocytes in plateau population
Objective To study the changes in erythrocyte osmotic fragility(EOF) in patients with hypercythemia, polycythemia and anemia under a high altitude environment. Methods A total of 174 outpatients, inpatients and people un...
Red blood cell storage lesion: a progress review
Red blood cells are the main mediators of oxygen transportation in the body. Under normal conditions, the life span of red blood cells circulating in the human body is approximately 120 days. However, after blood donatio...
Clinical significance of unexpected antibody from IgG1 and IgG3 subtypes
[Objective] To explore the clinical significance of the IgG1 and IgG3 subtypes of red blood cell unexpected antibodies. [Methods] The IgG1 and IgG3 typing tests were performed on the IgG type alloantibodies of Rh, Duffy...