Document Detail


Preoperative autologous blood donation - part I. Only two clinical parameters determine efficacy of the autologous predeposit.
MedLine Citation:
PMID:  17384572     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To improve efficacy of preoperative autologous blood donation (i.e. increase in total RBC-mass) it is important to know those clinical parameters that are of decisive impact for it. METHODS: Prospective study in 704 patients scheduled for major orthopaedic surgery. Donation of either one or two separately collected RBC-units, and calculation of increase in RBC-mass by the HCT-method. Qualitative statistical analysis by multiple univariate analysis of variances, correlation analysis with Pearson, multiple linear regression analysis. Quantitative statistical analysis by t-/U-test; P<0.01(n >or= 100), and P<0.05 (n <100), respectively. RESULTS: Two parameters were demonstrated of decisive impact to increase in RBC-mass to preopeative autologous blood donation (PABD) (P<0.000): first, time interval between preoperative autologous blood donation and surgery, that correlated positively with efficacy; second, haematocrit-level at predeposit-session that correlated negatively with efficacy. The highest level of RBC-regeneration reached was observed four weeks after last blood donation (one unit:146.6+/-85.2 mL; two units: 297.4+/-78.6 mL). Patients with an anaemic initial haematocrit (females: <or=37%; males <or=40%) generated more RBC (*P<0.05) than non-anaemic patients (one unit: females, 148.3+/-67.6 vs 73.8+/-65.8 mL; males, 170.5+/-81.6 vs 77.0+/- 93.9 mL. Two units: females, 295.0+/-58.5 vs 226.0+/-79.7 mL; males, 299.9+/-82.5 vs 234.6+/- 107.5 mL). CONCLUSIONS: To improve efficacy of preoperative autologous blood donation, a time interval between (last) autologous predeposit and surgery of at least 4 weeks should remain for efficacious RBC-regeneration; together with an acute and strong decline in haematocrit due to the autologous predeposit to push erythropoiesis as efficaciously as possible.
Authors:
G Singbartl
Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Minerva anestesiologica     Volume:  73     ISSN:  0375-9393     ISO Abbreviation:  Minerva Anestesiol     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-26     Completed Date:  2007-07-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375272     Medline TA:  Minerva Anestesiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  143-51     Citation Subset:  IM    
Affiliation:
AIT - Institut fuer Anaesthesie, Intensiv- und Transfusionsmedizin, ENDO-Klinik Hamburg GmbH, Hamburg, Germany. g.singbartl@gmx.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Transfusion, Autologous*
Erythrocyte Count
Female
Hematocrit
Humans
Male
Middle Aged
Orthopedic Procedures
Prospective Studies

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


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