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[Intraoperative transfusion in pediatric surgery]

V Pinto García1

  • 1Servicio de Hematología y Hemoterapia, Hospital Central de Asturias, Oviedo.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|February 3, 1999
PubMed
Summary

This study analyzed pediatric perioperative transfusion rates, finding 2.1% of 1,166 patients received transfusions. Higher rates were observed in younger children and those undergoing complex surgeries, informing transfusion planning.

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Area of Science:

  • Pediatric Surgery
  • Transfusion Medicine
  • Health Services Research

Background:

  • Perioperative transfusion is a critical aspect of surgical care, particularly in pediatric populations.
  • Understanding transfusion likelihood aids in resource allocation and patient safety protocols.
  • Variability in transfusion rates necessitates detailed analysis for effective management.

Purpose of the Study:

  • To determine the incidence of perioperative transfusions in pediatric surgical patients.
  • To identify patient and surgical factors associated with increased transfusion likelihood.
  • To provide data for optimizing blood bank policies and patient counseling.

Main Methods:

  • Retrospective analysis of 1,166 pediatric patient discharge records from 1996.
  • Utilized International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes for data abstraction.
  • Examined demographic and procedural data to assess transfusion predictors.

Main Results:

  • A total of 2.1% (25 out of 1,166) of pediatric patients received perioperative transfusions.
  • Higher transfusion rates were associated with younger age (<3 years), multiple simultaneous procedures, and initial admission.
  • Specific surgical sites, including spine, central nervous system, colon, and hip, showed increased transfusion likelihood.

Conclusions:

  • The identified variability in transfusion rates highlights the need for precise data.
  • Knowledge of transfusion likelihood supports better planning for surgical blood product requirements.
  • Informed patient counseling regarding transfusion risks in elective pediatric surgery can be improved.

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