| Retrospective analysis of autologous blood use in bimaxillary repositioning osteotomy surgery: a quality improvement study. | |
| | |
MedLine Citation:
|
PMID: 19392774 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
BACKGROUND: Multiple studies have considered the necessity of preoperative autologous blood donation before bimaxillary orthognathic osteotomies. In the context of a quality improvement project, this topic was also investigated in our institution. Furthermore, the transfusion practice was analyzed and the correlations between patient, operative variables, and blood loss were studied. STUDY DESIGN AND METHODS: In accordance with the recommendations of the Federal Medical Association and the Federal Ministry for Health and Social Security, a transfusion demand list was compiled using data of 82 patients who underwent bimaxillary orthognathic surgery between 1997 and 2005. The maximum blood loss tolerable without transfusion (MBL) was calculated for each patient on the basis of sex, weight, height, and preoperative hematocrit (Hct). This was compared with the actual transfusion and blood loss data. RESULTS: An autologous blood donation was carried out in 65 of 82 patients (79.3%). Sixty-two of 65 autologous blood donors (95.4%) and 2 of 17 patients (11.8%) without autologous blood donation received transfusion. The actual blood loss did not exceed the calculated MBL in 48 of the 82 cases. Nevertheless, 31 of these 48 patients (64.6%) received transfusions. For patients with a low calculated MBL, only a trend to a higher transfusion rate was observed, although the actual blood loss in these cases more often exceeded the individually calculated MBL (p < 0.01). In addition, transfusion triggers (Hct 0.22 or hemoglobin 7.5 g/dL) were also more often seen in cases with low calculated MBL (p < 0.05). CONCLUSIONS: In this study, an inappropriate transfusion practice in patients undergoing bimaxillary orthognathic osteotomies after preoperative autologous blood donation was detected. Calculation of the individual MBL should be used to help identify patients at high risk for transfusion and guide adequate methods to decrease the need of homologous blood. |
| | |
Authors:
|
Sebastian Böttger; Philipp Streckbein; Bernd Hartmann; Heidrun Schaaf; Hans Peter Howaldt; Axel Junger |
Related Documents
:
|
16761154 - Autologous blood transfusion following total knee arthroplasty: is it always necessary? 10771374 - A survey of autologous blood collection and transfusion in japan in 1997. 14714224 - Autologous blood donation before elective off-pump coronary artery bypass grafting. 19056224 - Cost minimization analysis of preoperative erythropoietin vs autologous and allogeneic ... 1533534 - Beneficial actions of amlodipine in the multiple-stunned canine myocardium. 3315214 - Measurement of isovolumic relaxation: comparison of echocardiographic mitral valve open... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Transfusion Volume: 49 ISSN: 1537-2995 ISO Abbreviation: Transfusion Publication Date: 2009 Aug |
Date Detail:
|
Created Date: 2011-04-04 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0417360 Medline TA: Transfusion Country: United States |
Other Details:
|
Languages: eng Pagination: 1747-53 Citation Subset: IM |
Affiliation:
|
Klinik und Poliklinik für Mund-, Kiefer-, und Gesichtschirurgie, Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen, Germany. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Immunophenotypical, morphologic, and functional characterization of maturation-associated plasmacyto...
Next Document: Extracellular DNA in cord blood plasma and applications in cord blood banking for sample identificat...