Document Detail


Blood transfusion practices after resection of intrathoracic neoplasms.
MedLine Citation:
PMID:  8397325     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A heightened awareness of the risks of blood transfusion and the previously reported common administration of blood products (31-55%) following thoracic surgery prompted us to evaluate our recent transfusion practices. Of 355 patients who underwent a thoracotomy or median sternotomy from July 1987 through September 1991, 91 (25.6%) were transfused a mean 3.1 units of blood within the first 30 postoperative days. Transfused and nontransfused patients were compared with respect to age, body surface area, preoperative hemoglobin, estimated operative blood loss, and estimated postoperative hemoglobin. Univariate analyses of variance indicate significant (P < 0.01) differences between the two groups of patients for preoperative hemoglobin, blood loss, and estimated postoperative hemoglobin. Transfusion frequencies by year of operation are: 1987, 36%; 1988, 31%; 1989, 33%; 1990, 23%; 1991, 15%. We conclude that our transfusion requirements are lower than reported rates and that clinical parameters may help predict the need for subsequent transfusion.
Authors:
J L Gwin; S M Keller
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of surgical oncology     Volume:  54     ISSN:  0022-4790     ISO Abbreviation:  J Surg Oncol     Publication Date:  1993 Sep 
Date Detail:
Created Date:  1993-10-21     Completed Date:  1993-10-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0222643     Medline TA:  J Surg Oncol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  34-7     Citation Subset:  IM    
Affiliation:
Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Blood Loss, Surgical / statistics & numerical data
Blood Transfusion* / statistics & numerical data
Carcinoma, Non-Small-Cell Lung / epidemiology,  surgery
Chi-Square Distribution
Erythrocyte Transfusion
Humans
Lung Neoplasms / epidemiology,  surgery
Middle Aged
Philadelphia / epidemiology
Sternum / surgery
Thoracic Neoplasms / epidemiology,  surgery*
Thoracotomy / statistics & numerical data
Comments/Corrections
Comment In:
J Surg Oncol. 1993 Sep;54(1):3-4   [PMID:  8377502 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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