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[Intraoperative transfusion in pediatric surgery]
1Servicio de Hematología y Hemoterapia, Hospital Central de Asturias, Oviedo.
Insights
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.
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.
Purpose:
To analyze the likelihood of perioperative transfusion using the data of the abstracted patient discharge records.
Material And Methods:
It was studied the data of the records of the pediatric patients in whom were done surgical procedures for 1996. The abstracted patient discharge records are codified according the ICD-9-CM codes.
Results:
1,166 pediatric patients were operated, of whom were transfused 25 (2.1%). The transfusion rate was higher in patients less than 3 years old, who were operated with three o more surgical procedures simultaneously, who were admitted newly after the admittance here studied, and patients operated of spine, dorsolumbar spine, pharynx, thorax and mediastinum, central nervous system, colon, vessels and hip.
Conclusions:
Given the variability of the transfusion rate, to know it will allow a better planning of the surgical transfusions, the policy of the hospital blood bank and to increase the information to patient about the risk of the elective surgery.