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

Fatigue, fear are daily lot of Ebola fighters: experts

8 hours ago

Doctors, nurses and hospital workers fighting the Ebola epidemic in west Africa are struggling with a daily burden of exhaustion, shortage of staff and fear for themselves over the deadly virus, specialists say.

Hong Kong makes Ebola 'contingency' measures

11 hours ago

Hong Kong said Wednesday it was quarantining all people from Guinea, Sierra Leone and Liberia who were showing Ebola-like symptoms on arrival in the city, as fears grow worldwide about the spread of the deadly virus.

User comments