| Use of a miniaturized cardiopulmonary bypass circuit in neonates and infants is associated with fewer blood product transfusions. | |
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MedLine Citation:
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PMID: 22036721 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Miniaturized bypass circuits, including the Kids D100 oxygenator and the D130 arterial filter, were specially designed to reduce blood transfusions in small infants undergoing cardiac surgery. This study compared the number of blood product transfusions and short-term outcome between patients younger than 1 year undergoing cardiac surgery with a conventional and a miniaturized bypass circuit, after controlling for baseline characteristics and surgical complexity by 1:1 matching. Adjusted odds ratios (ORs) and 95% confidence intervals for exposure to transfusions and to any additional transfusion were estimated from binary and polytomous regression models. Of the 804 patients enrolled retrospectively, 246 were analyzed after matching. The use of the miniaturized circuit required a lower priming volume, 265.5 vs. 432.4 mL, p < 0.001, fewer packed red blood cell (PRBC) transfusions, 1.4 vs. 2.0 U, p < 0.001, and fewer platelet transfusions on the day of surgery, 57.7% vs. 76.4%, p < 0.001. After adjustment for the use of antifibrinolytics, the ultrafiltration rate, and the year of surgery, the use of the miniaturized circuit was independently related to a reduced risk of additional PRBC transfusions, OR 0.04 (0.01, 0.13), and exposure to platelet transfusions, OR 0.78 (0.63, 0.96). Short-term outcome was similar. |
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Authors:
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Mirela Bojan; Maria Constanza Basto Duarte; Vanessa Lopez Lopez; Laurent Tourneur; Philippe Pouard; Pascal Vouhé |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: ASAIO journal (American Society for Artificial Internal Organs : 1992) Volume: 57 ISSN: 1538-943X ISO Abbreviation: ASAIO J. Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-10-31 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9204109 Medline TA: ASAIO J Country: United States |
Other Details:
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Languages: eng Pagination: 527-32 Citation Subset: IM |
Affiliation:
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From the *Anesthesiolgy and Critical Care Department and †Pediatric Cardiac Surgery Department, Necker-Enfants Malades Hospital, Assistance Publique-Hopitaux de Paris; and ‡Paris 5 René Descartes University, Paris, France. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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