Preoperative Haematocrit and Packed Red Blood Cell (PRBC) Transfusion during Isolated Coronary Artery Bypass Grafting (CABG) at Penang General Hospital
| Main Authors: | KRISHINAN Sotheenathan, ABDUL KAREEM Basheer Ahamed, SUBRAMANIAM Suganthi Rani, SUBRAMANIAM Sivasangari |
|---|---|
| Format: | Proceeding poster Journal |
| Bahasa: | eng |
| Terbitan: |
, 2021
|
| Subjects: | |
| Online Access: |
https://zenodo.org/record/5457722 |
Daftar Isi:
- INTRODUCTION Complex cardiac surgeries, redo sternotomy cases, salvage and emergent surgeries, and patients who have high EUROSCORE II scores are known to have higher intraoperative and postoperative blood transfusions. Perpetual need of blood and blood components also mount cost and resources efficiency on National Blood Banks. Transfusion related immunologic reactions and contracting infectious diseases via blood transfusion is another major issue that has to be addressed, especially in cardiac surgeries. METHODOLODY A total of 130 patients who underwent CABG operation between July 2020 till March 2021 were included in this study. Patient data were obtained prospectively from hospital registry. Local ethics committee approval was obtained. All the data obtained was entered into a form. The European System for Cardiac Operative Risk Evaluation (EuroSCORE) scoring system was used for preoperative mortality risk assessment. RESULTS Packed cell transfusion was higher among patients with low level of preoperative haematocrit especially those who had haematocrit below 30 had a higher risk of blood transfusion preoperatively. Blood transfusion was also high among patients with chronic kidney disease and longer cardiopulmonary bypass time. Patients with a relatively low platelet count preoperatively also was a strong predictor of perioperative blood transfusion. CONCLUSION In our study, low preoperative hematocrit levels were associated with an increased risk of receiving a perioperative blood transfusion, which has many risks and side effects among patients undergoing Coronary Artery Bypass Surgery. Therefore, detecting and treating the cause of low preoperative hematocrit levels may eliminate unnecessary blood transfusions and undesirable consequences patients undergoing surgery. Disclaimer: Abstract text might vary slightly from what is displayed in the e-poster.
- This poster was submitted to the 14th National Conference for Clinical Research (NCCR) in August 18-20, 2021. https://nccrconference.com.my/