Assessment of perioperative blood transfusion in cardiac surgery using administrative data.
We have analysed the blood transfusion requirements in 288 consecutive adult patients undergoing cardiac surgery using data from the discharge reports, coded in accordance with the international disease classification. 114 patients were transfused (39.6%). The transfusion rate was higher in patients with a principal diagnosis of two valve disorders, acute/subacute ischemic heart disease, congenital anomalies, tumour and injuries. All of these had a transfusion rate greater than 50%. Controlling the confounding effects by multivariate logistic regression analysis, there was an adjusted association of the transfusion rate only with the principal diagnosis and with sex, not with type of admission, preoperative anemia, surgical procedure or age.
Hospital Central de Asturias, General Hospital Blood Bank, Faro 25 33199, Oviedo, Spain. bibliohga@hca.es
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Pinto García
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001803:Blood Transfusion; D006348:Cardiac Surgical Procedures; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D012044:Regression Analysis; D012307:Risk Factors