Blood Management and Risk Assessment for Transfusion in Pediatric Spinal Deformity Surgery.
Journal
Advances in hematology
ISSN: 1687-9104
Titre abrégé: Adv Hematol
Pays: United States
ID NLM: 101504271
Informations de publication
Date de publication:
2020
2020
Historique:
received:
03
09
2019
accepted:
06
04
2020
entrez:
27
5
2020
pubmed:
27
5
2020
medline:
27
5
2020
Statut:
epublish
Résumé
Evaluate the impact of a Quality and Safety Program (QSP) on the reduction of blood loss and transfusion needs in pediatric spinal deformity surgery, while defining risk factors for transfusion. Multimodal plan aiming to minimize transfusion needs has been shown to reduce transfusions and index rates in spinal deformity surgery. Anticipating blood loss and transfusion may help direct resources to patient needs or encourage reconsideration of the surgical plan. This is a single-center retrospective study of prospectively collected data. Impact of this multimodal plan was studied on idiopathic deformities (Group A, 109 patients) and scoliosis associated with syndromic, neuromuscular, and muscular dystrophies (Group B, 100 patients), both before and after QSP. A decrease in total estimated blood loss was observed. In Group A, transfused patients decreased from 83.7% to 28% ( Transfusion needs in scoliosis surgery can be substantially reduced following a multimodal approach. The success of a program is strongly dependent on team effort, and the introduction of a risk assessment tool for transfusion needs indirectly assesses surgical risk, thus allowing relocation of resources to decrease blood loss.
Sections du résumé
OBJECTIVES
OBJECTIVE
Evaluate the impact of a Quality and Safety Program (QSP) on the reduction of blood loss and transfusion needs in pediatric spinal deformity surgery, while defining risk factors for transfusion.
BACKGROUND
BACKGROUND
Multimodal plan aiming to minimize transfusion needs has been shown to reduce transfusions and index rates in spinal deformity surgery. Anticipating blood loss and transfusion may help direct resources to patient needs or encourage reconsideration of the surgical plan.
METHODS
METHODS
This is a single-center retrospective study of prospectively collected data. Impact of this multimodal plan was studied on idiopathic deformities (Group A, 109 patients) and scoliosis associated with syndromic, neuromuscular, and muscular dystrophies (Group B, 100 patients), both before and after QSP.
RESULTS
RESULTS
A decrease in total estimated blood loss was observed. In Group A, transfused patients decreased from 83.7% to 28% (
CONCLUSION
CONCLUSIONS
Transfusion needs in scoliosis surgery can be substantially reduced following a multimodal approach. The success of a program is strongly dependent on team effort, and the introduction of a risk assessment tool for transfusion needs indirectly assesses surgical risk, thus allowing relocation of resources to decrease blood loss.
Identifiants
pubmed: 32454830
doi: 10.1155/2020/8246309
pmc: PMC7229536
doi:
Types de publication
Journal Article
Langues
eng
Pagination
8246309Informations de copyright
Copyright © 2020 Pedro Fernandes et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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