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    Age of transfused blood is not associated with increased postoperative adverse outcome after cardiac surgery.

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    Authors
    McKenny, M
    Ryan, T
    Tate, H
    Graham, B
    Young, V K
    Dowd, N
    Affiliation
    Department of Anaesthesia, St James's Hospital, James's Street, Dublin, Ireland. mikemckenny@eircom.net
    Issue Date
    2011-05
    MeSH
    Adult
    Aged
    Aged, 80 and over
    Blood Preservation
    Cardiac Surgical Procedures
    Cell Aging
    Databases, Factual
    Erythrocyte Transfusion
    Female
    Humans
    Male
    Middle Aged
    Perioperative Care
    Postoperative Complications
    Time Factors
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    Citation
    Age of transfused blood is not associated with increased postoperative adverse outcome after cardiac surgery. 2011, 106 (5):643-9 Br J Anaesth
    Journal
    British journal of anaesthesia
    URI
    http://hdl.handle.net/10147/135649
    DOI
    10.1093/bja/aer029
    PubMed ID
    21414977
    Additional Links
    http://www.ncbi.nlm.nih.gov/pubmed/21414977
    Abstract
    This study investigated the hypothesis that storage age of transfused red blood cells (RBCs) is associated with adverse outcome after cardiac surgery, and examined association between volume of RBC transfusions and outcome after cardiac surgery.
    Adult patients undergoing first time elective/urgent cardiac surgery who had received RBC transfusion perioperatively were included. Three prospective institutional databases were linked. Patients were grouped according to the oldest storage age of any RBCs transfused: those who received only RBCs stored for ≤14 days, only RBCs stored for >14 days, and a mixture of both ages of blood. The effect of RBC age on early mortality, postoperative ventilation ≥72 h, renal failure, pulmonary and infectious complications, length of intensive care stay, and postoperative ventilation time was examined using regression analyses with adjustment for confounding factors, including number of units transfused.
    Data were analysed on 1153 patients who received a total of 5962 RBC units. There was no difference in adjusted odds of any outcome between the ≤14 days group and the group who received RBCs aged >14 days. Multivariate logistic regression analyses disclosed number of RBC units transfused as the most consistent factor associated with major postoperative complications, P<0.0001 in all cases. A trend of increasing complication rate was observed with more units transfused.
    Storage age of RBC transfusion up to 35 days was not associated with increased postoperative adverse outcome after cardiac surgery. The number of RBC units transfused is consistently associated with adverse outcome.
    Item Type
    Article
    Language
    en
    ISSN
    1471-6771
    ae974a485f413a2113503eed53cd6c53
    10.1093/bja/aer029
    Scopus Count
    Collections
    St. James's Hospital

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