Blood transfusion and lung surgeries in pediatric age group: A single center retrospective study
Background: Blood transfusion is not without harm, and recent studies suggest association between transfusion and poor outcome in critically ill patients. Although it is prescribed for many reasons based on the firm belief that blood transfusion improves oxygen carrying capacity, it carries notable...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Annals of Cardiac Anaesthesia |
| Subjects: | |
| Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2020;volume=23;issue=2;spage=149;epage=153;aulast=Elgebaly |
| _version_ | 1818155540833894400 |
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| author | Ahmed S Elgebaly Sameh M Fathy Mona B Elmorad Ayman A Sallam |
| author_facet | Ahmed S Elgebaly Sameh M Fathy Mona B Elmorad Ayman A Sallam |
| author_sort | Ahmed S Elgebaly |
| collection | DOAJ |
| description | Background: Blood transfusion is not without harm, and recent studies suggest association between transfusion and poor outcome in critically ill patients. Although it is prescribed for many reasons based on the firm belief that blood transfusion improves oxygen carrying capacity, it carries notable adverse hazards. Importantly, lung surgeries are counted as moderate to high-risk operations and take a significant risk of blood loss. Aim: This study aims to reveal the association between blood transfusion and poor clinical outcomes and characterize the epidemiology of blood transfusion after pediatric chest surgery. Settings and Design: Retrospective cohort study, done throughout 3 years. Materials and Methods: A total of 248 patients who underwent open thoracotomy and lung surgery and aged ≤18 years were classified according to the need of intraoperative or postoperative blood transfusion into two groups: Group I (non-transfused = 130) and Group II (transfused = 118). Statistical Analysis: SPSS v25 was used for analysis. Results: Transfusion probability ranged between 42.8% and 50% according to type of surgery. As regard to postoperative variables, there was no significant difference between both groups regarding the duration of analgesia, allergic reactions, need of re-operation and in-hospital mortality. However, transfused group showed significant increase in duration of antibiotic, persistent postoperative fever, time to remove chest drains, ICU stays, hospital stay and pneumonia. Incidence of pneumonia had a relative risk 1.82 with transfused compared to non-transfused group. Conclusion: Transfusion group in pediatrics undergoing lung surgeries in our study was more prone to adverse outcomes such as pneumonia, delayed time to remove chest drains, prolonged ICU stay, and hospital stay. |
| first_indexed | 2024-12-11T14:44:02Z |
| format | Article |
| id | doaj.art-b174067eb9be4aa5a269e428de6ec193 |
| institution | Directory Open Access Journal |
| issn | 0971-9784 |
| language | English |
| last_indexed | 2024-12-11T14:44:02Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj.art-b174067eb9be4aa5a269e428de6ec1932022-12-22T01:01:47ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842020-01-0123214915310.4103/aca.ACA_210_18Blood transfusion and lung surgeries in pediatric age group: A single center retrospective studyAhmed S ElgebalySameh M FathyMona B ElmoradAyman A SallamBackground: Blood transfusion is not without harm, and recent studies suggest association between transfusion and poor outcome in critically ill patients. Although it is prescribed for many reasons based on the firm belief that blood transfusion improves oxygen carrying capacity, it carries notable adverse hazards. Importantly, lung surgeries are counted as moderate to high-risk operations and take a significant risk of blood loss. Aim: This study aims to reveal the association between blood transfusion and poor clinical outcomes and characterize the epidemiology of blood transfusion after pediatric chest surgery. Settings and Design: Retrospective cohort study, done throughout 3 years. Materials and Methods: A total of 248 patients who underwent open thoracotomy and lung surgery and aged ≤18 years were classified according to the need of intraoperative or postoperative blood transfusion into two groups: Group I (non-transfused = 130) and Group II (transfused = 118). Statistical Analysis: SPSS v25 was used for analysis. Results: Transfusion probability ranged between 42.8% and 50% according to type of surgery. As regard to postoperative variables, there was no significant difference between both groups regarding the duration of analgesia, allergic reactions, need of re-operation and in-hospital mortality. However, transfused group showed significant increase in duration of antibiotic, persistent postoperative fever, time to remove chest drains, ICU stays, hospital stay and pneumonia. Incidence of pneumonia had a relative risk 1.82 with transfused compared to non-transfused group. Conclusion: Transfusion group in pediatrics undergoing lung surgeries in our study was more prone to adverse outcomes such as pneumonia, delayed time to remove chest drains, prolonged ICU stay, and hospital stay.http://www.annals.in/article.asp?issn=0971-9784;year=2020;volume=23;issue=2;spage=149;epage=153;aulast=Elgebalyblood transfusionlung surgeriespediatricsretrospective study |
| spellingShingle | Ahmed S Elgebaly Sameh M Fathy Mona B Elmorad Ayman A Sallam Blood transfusion and lung surgeries in pediatric age group: A single center retrospective study Annals of Cardiac Anaesthesia blood transfusion lung surgeries pediatrics retrospective study |
| title | Blood transfusion and lung surgeries in pediatric age group: A single center retrospective study |
| title_full | Blood transfusion and lung surgeries in pediatric age group: A single center retrospective study |
| title_fullStr | Blood transfusion and lung surgeries in pediatric age group: A single center retrospective study |
| title_full_unstemmed | Blood transfusion and lung surgeries in pediatric age group: A single center retrospective study |
| title_short | Blood transfusion and lung surgeries in pediatric age group: A single center retrospective study |
| title_sort | blood transfusion and lung surgeries in pediatric age group a single center retrospective study |
| topic | blood transfusion lung surgeries pediatrics retrospective study |
| url | http://www.annals.in/article.asp?issn=0971-9784;year=2020;volume=23;issue=2;spage=149;epage=153;aulast=Elgebaly |
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