Predictors of Blood Transfusion in Patients Undergoing Coronary Artery Bypass Grafting Surgery

Saleh  Sandoughdaran; Mahmood reza  Sarzaeem; Jamshid  Bagheri; Mohammad  Jebelli; Mohammad Hossein  Mandegar

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Predictors of Blood Transfusion in Patients Undergoing Coronary Artery Bypass Grafting Surgery

Author(s):

Saleh Sandoughdaran¹,

Mahmood reza Sarzaeem^1,*,

Jamshid Bagheri¹,

Mohammad Jebelli¹,

Mohammad Hossein Mandegar¹

1Cardiac Surgery and Transplantation Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

International Cardiovascular Research Journal:Vol. 7, issue 1; e12726

Published online:Mar 31, 2013

Article type:Brief Report

Received:May 07, 2017

Accepted:Mar 02, 2013

How to Cite:Sandoughdaran S, Sarzaeem M R, Bagheri J, Jebelli M, Mandegar M H. Predictors of Blood Transfusion in Patients Undergoing Coronary Artery Bypass Grafting Surgery.Int Cardiovasc Res J.2013;7(1):e12726.

Abstract

Objectives: The aim of this retrospective study is to identify intraoperative patient’s characteristics predicting the need for blood transfusion during CABG in our local cardiac surgical service.

Methods: This study included 1835 consecutive patients, 1311 males and 524 females with mean age 58.8±9.9 years, undergoing coronary artery bypass grafting. Risk factors detected by univariate study were entered in a multivariate logistic regression model of the relationship between preoperative variables and blood transfusion.

Results: Blood transfusion was used in 435 patients (29.9%). Univariate analysis identified hemoglobin, smoking, hypertension, sex, diabetes, BMI and use of cardiopulmonary bypass (CPB) as significant predictors. Multivariate analysis revealed hemoglobin (OR: 0.8; CI: 0.74-0.86; P<0.001), CPB use (OR: 12.2; CI: 8.2-18.1; P<0.001) and female gender (OR: 2.29; CI:1.72-3.04; P<0.001) as independent risk factors for blood transfusion.

Conclusions: The predictors of RBC transfusion after isolated CABG were performing CPB, preoperative hemoglobin and female gender. These factors can be used as a clinical tool to preserve blood bank resources without increasing patient’s risk.

Keywords

Blood Transfusion

Coronary Artery Bypass

Blood Cells

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