Blood transfusions for spinal fusion holding steady

Blood transfusions for spinal fusion holding steady

(HealthDay)—Among U.S. patients undergoing spinal fusion, the rates of allogeneic blood transfusion (ALBT) increased from 2000 to 2009, while predonated autologous blood transfusion (PR-ABT) rates decreased, according to a study published in the Feb. 15 issue of Spine.

Hiroyuki Yoshihara, M.D., Ph.D., and Daisuke Yoneoka, of the New York University Hospital for Joint Diseases in New York City, utilized data from the Nationwide Inpatient Sample (2000 to 2009) to identify patients who underwent . International Classification of Diseases, Ninth Revision, Clinical Modification codes were used to further identify patients who received PR-ABT, perioperative autologous blood transfusion (PE-ABT; intraoperative and postoperative blood collection), and ALBT.

The researchers observed an increasing trend over the study period in the ALBT rate (4.3 to 8.0 percent; P < 0.001), and a decreasing trend in the PR-ABT rate (2.6 to 0.7 percent; P < 0.001). The remained stable for overall blood transfusion and PE-ABT. For subgroups of patients, such as pediatric and elderly patients; female patients; patients with increased Elixhauser Comorbidity Score; Medicare patients; and patients who underwent thoracolumbar, posterior, and anterior and posterior fusion, the ALBT rate was high.

"The overall rate remained stable; however, it may be reduced by using a patient blood management program, targeting the subgroups of with the high ALBT rate," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

More lumbar Sx complications at teaching hospitals

Mar 12, 2014

(HealthDay)—Patients undergoing lumbar spine surgery at teaching hospitals incur longer hospitalizations and have more postoperative complications compared to those treated at nonteaching hospitals, according ...

OK to continue aspirin therapy up to pancreatic surgery

Aug 01, 2013

(HealthDay)—Patients on aspirin therapy do not have higher rates of perioperative bleeding, transfusion, or major procedure-related complications following elective pancreatic surgery, according to research ...

Recommended for you

Leprosy: Myanmar struggles with ancient scourge

1 hour ago

High in the hills of Myanmar's war-torn borderlands, a clutch of new leprosy cases among communities virtually cut off from medical help is a sign that the country's battle with the ancient disease is far from over.

New analysis questions use of acute hemodialysis treatment

15 hours ago

A common approach to treating kidney failure by removing waste products from the blood did not improve survival chances for people who suddenly developed the condition, in an analysis led by experts at the University of Pittsburgh ...

WHO: West Africa Ebola death toll rises to 1,350 (Update)

15 hours ago

Riot police and soldiers acting on their president's orders used scrap wood and barbed wire to seal off 50,000 people inside their Liberian slum Wednesday, trying to contain the Ebola outbreak that has killed ...

User comments