Document Detail


Evaluation of current practices in routine preoperative crossmatching for transurethral resection of the prostate.
MedLine Citation:
PMID:  8426409     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Increasing demand for blood during elective surgery has led to attempts to rationalize routine preoperative crossmatching to those operations when there is a reasonable (greater than 30%) chance of it being required. Results of a questionnaire returned by 86% of the urology units in Great Britain show that 41% continue to crossmatch 2 units of blood before transurethral prostatectomy. A review of 301 transurethral prostatectomies performed with preoperative grouping and saving of blood showed that only 11% of the patients required transfusion. The need for transfusion was significantly associated with presentation in chronic or acute on chronic retention (p < 0.01), and the operative factors of weight of resection (p < 0.0001) and degree of hemostasis (p < 0.001). Therefore, a policy of routine preoperative blood grouping and saving is safe, and could be widely adopted, leading to financial saving and a decrease in wastage of blood that becomes too old to use.
Authors:
G S Robertson; N J Everitt; P Burton; J T Flynn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  149     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1993 Feb 
Date Detail:
Created Date:  1993-03-01     Completed Date:  1993-03-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  311-3; discussion 314     Citation Subset:  AIM; IM    
Affiliation:
Area Urological Service, Leiscester General Hospital, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Blood Grouping and Crossmatching / statistics & numerical data*
Great Britain
Humans
Male
Middle Aged
Organ Size
Preoperative Care
Prostate / pathology
Prostatectomy*

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


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