Perioperative use of allogenic blood components in live-related donor orthotopic liver transplantation: A cross sectional study

Background: In spite of many improvements that have reduced the blood component requirements, substantial numbers of transfusions are still needed in liver transplantation. Aims: The objective of the present study was to analyze the perioperative usage of allogenic blood components and predict the p...

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Main Authors: Prashant Pandey, Aseem K Tiwari, Jyoti Sharma, Divyajyoti Srivastava, Surbhi Dixit, Vimarsh Raina
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Asian Journal of Transfusion Science
Subjects:
Online Access:http://www.ajts.org/article.asp?issn=0973-6247;year=2013;volume=7;issue=1;spage=68;epage=72;aulast=Pandey
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author Prashant Pandey
Aseem K Tiwari
Jyoti Sharma
Divyajyoti Srivastava
Surbhi Dixit
Vimarsh Raina
author_facet Prashant Pandey
Aseem K Tiwari
Jyoti Sharma
Divyajyoti Srivastava
Surbhi Dixit
Vimarsh Raina
author_sort Prashant Pandey
collection DOAJ
description Background: In spite of many improvements that have reduced the blood component requirements, substantial numbers of transfusions are still needed in liver transplantation. Aims: The objective of the present study was to analyze the perioperative usage of allogenic blood components and predict the preoperative factors as predictors of red cell transfusion in live-related donor liver transplant recipients. Materials and Methods: The retrospective data on utilization of allogenic blood components were analyzed for a total of 150 liver transplant procedures. The data on utilization of blood components during surgery and till 48 hours of ICU stay was collected from the blood bank record and hospital information system (HIS). Results: Red cell concentrate was commonest blood component used in liver transplant recipient and most of the transfusion took place during surgery. During intraoperative period 92.7% (N = 139) of the cases utilized red cell components with the median number of five whereas in postoperative period only 38% (N = 57) of patients received blood with the median number of one. This study demonstrates that the preoperative hemoglobin and platelet count are the predictors of utilization of red cell concentrates during surgery. There were a total of 11 (7.3%) recipients who didn′t receive allogeneic blood transfusion in any form.Utilization of blood components was negligible among organ donors. Conclusion: Our study demonstrates the pattern and predictors of usage of allogeneic blood components in liver transplant recipients at a tertiary healthcare center in India.
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spelling doaj.art-9299e446dfdf4307b21df8512d3de8ca2022-12-21T19:49:12ZengWolters Kluwer Medknow PublicationsAsian Journal of Transfusion Science0973-62471998-35652013-01-0171687210.4103/0973-6247.106743Perioperative use of allogenic blood components in live-related donor orthotopic liver transplantation: A cross sectional studyPrashant PandeyAseem K TiwariJyoti SharmaDivyajyoti SrivastavaSurbhi DixitVimarsh RainaBackground: In spite of many improvements that have reduced the blood component requirements, substantial numbers of transfusions are still needed in liver transplantation. Aims: The objective of the present study was to analyze the perioperative usage of allogenic blood components and predict the preoperative factors as predictors of red cell transfusion in live-related donor liver transplant recipients. Materials and Methods: The retrospective data on utilization of allogenic blood components were analyzed for a total of 150 liver transplant procedures. The data on utilization of blood components during surgery and till 48 hours of ICU stay was collected from the blood bank record and hospital information system (HIS). Results: Red cell concentrate was commonest blood component used in liver transplant recipient and most of the transfusion took place during surgery. During intraoperative period 92.7% (N = 139) of the cases utilized red cell components with the median number of five whereas in postoperative period only 38% (N = 57) of patients received blood with the median number of one. This study demonstrates that the preoperative hemoglobin and platelet count are the predictors of utilization of red cell concentrates during surgery. There were a total of 11 (7.3%) recipients who didn′t receive allogeneic blood transfusion in any form.Utilization of blood components was negligible among organ donors. Conclusion: Our study demonstrates the pattern and predictors of usage of allogeneic blood components in liver transplant recipients at a tertiary healthcare center in India.http://www.ajts.org/article.asp?issn=0973-6247;year=2013;volume=7;issue=1;spage=68;epage=72;aulast=PandeyAllogeneic blood componentsorthotopicliver transplantationtransfusion
spellingShingle Prashant Pandey
Aseem K Tiwari
Jyoti Sharma
Divyajyoti Srivastava
Surbhi Dixit
Vimarsh Raina
Perioperative use of allogenic blood components in live-related donor orthotopic liver transplantation: A cross sectional study
Asian Journal of Transfusion Science
Allogeneic blood components
orthotopicliver transplantation
transfusion
title Perioperative use of allogenic blood components in live-related donor orthotopic liver transplantation: A cross sectional study
title_full Perioperative use of allogenic blood components in live-related donor orthotopic liver transplantation: A cross sectional study
title_fullStr Perioperative use of allogenic blood components in live-related donor orthotopic liver transplantation: A cross sectional study
title_full_unstemmed Perioperative use of allogenic blood components in live-related donor orthotopic liver transplantation: A cross sectional study
title_short Perioperative use of allogenic blood components in live-related donor orthotopic liver transplantation: A cross sectional study
title_sort perioperative use of allogenic blood components in live related donor orthotopic liver transplantation a cross sectional study
topic Allogeneic blood components
orthotopicliver transplantation
transfusion
url http://www.ajts.org/article.asp?issn=0973-6247;year=2013;volume=7;issue=1;spage=68;epage=72;aulast=Pandey
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