Simple jQuery Dropdowns
Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/52039
Full metadata record
DC FieldValueLanguage
dc.contributor.authorK. Uedilokkunthornen_US
dc.contributor.authorB. V. Bormannen_US
dc.contributor.authorS. Thanapipatsirien_US
dc.contributor.otherFaculty of Medicine, Siriraj Hospital, Mahidol Universityen_US
dc.date.accessioned2020-01-27T10:17:56Z-
dc.date.available2020-01-27T10:17:56Z-
dc.date.issued2019-01-01en_US
dc.identifier.citationJournal of the Medical Association of Thailand. Vol.102, No.10 (2019), 1-4en_US
dc.identifier.issn01252208en_US
dc.identifier.other2-s2.0-85074630201en_US
dc.identifier.urihttp://repository.li.mahidol.ac.th/dspace/handle/123456789/52039-
dc.description.abstract© JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND| 2019 Background: Major orthopedic surgery often requires allogeneic blood transfusion that involves a risk for infection and other complications. The decision to transfuse is typically at the surgeon’s discretion. Objective: To evaluate the effect of a blood transfusion guideline on allogeneic transfusion rates, volumes and outcomes in patients with major orthopedic surgery. Materials and Methods: Data were collected retrospectively in 115 patients before implementing a guideline (pre-guideline group), and prospectively in 115 patients to whom a guideline defining criteria for red cell transfusion was applied (guideline group). The guideline for packed red cell transfusion was a hematocrit <25% or a hemoglobin of <8 g/dL. These thresholds were disregarded if the clinical situation warranted it. Clinical data and post-operative outcomes were recorded and compared. Results: The two groups were not significantly different with respect to age, sex, BMI, ASA classification, pre-operative cHb/Hct level, operative time and intraoperative blood loss. In the pre-guideline group, 45 (39.1%) patients received transfusion compared to 22 (19.1%) in the guideline group (p = 0.001). Patients in the pre-guideline group received more transfusion (0.68+1.02 units) than the guideline group (0.24+0.68 units). Mean difference of blood transfusion between two groups, 0.48 units (95% CI 0.23 to 0.73), was statistically significant (p<0.001). There were no significant differences in outcome. Conclusion: A transfusion guideline using hematocrit and hemoglobin thresholds reduced the frequency and volume of allogeneic blood transfusions without increasing postoperative complications in patients with major orthopedic surgery.en_US
dc.rightsMahidol Universityen_US
dc.source.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85074630201&origin=inwarden_US
dc.subjectMedicineen_US
dc.titleEffectiveness of a blood transfusion guideline in major orthopaedic surgeryen_US
dc.typeArticleen_US
dc.rights.holderSCOPUSen_US
dc.identifier.urlhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85074630201&origin=inwarden_US
Appears in Collections:Scopus 2019

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.