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Predictors of blood transfusion in patients undergoing elective surgery for degenerative conditions of the spine

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Background

The requirement of blood in the surgery of degenerative conditions of lumbar spine is around 10 %. Preoperative autologous blood donation is an effective method that is used in surgeries with an important blood loss. This is an expensive method because of the great number of predonated blood units not used in the postoperative period (around 70 % in our practice).

Objective

To know the risk factors associated with transfusion in the postoperative period in patients who undergo surgeries of degenerative conditions of the lumbar spine.

Methods

We designed a retrospective study of 142 cases of patients operated for degenerative conditions of the lumbar spine (not including simple disk hernia or adult degenerative scoliosis).

Results

Female sex, age >60 years, preoperative ASA score 3 and preoperative hemoglobin ≤136 g/L are the risk factors related to the need of blood transfusion in the postoperative period. After application of a statistical study, female sex and preoperative ASA score 3 were the most important variables to explain transfusional risk. A woman with ASA score 3 has a 61 % foretold probability to be transfused in the postoperative period, while a man with ASA < 3, only 1.1 %. For this reason, application of this method to patients with these risk factors is more cost-effective.

Conclusions

Females, ASA 3, preoperative hemoglobin ≤136 g/L and age older than 60 years increase the risk to be transfused in the postoperative period for degenerative conditions of the spine.

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Acknowledgments

We thank Marta Pulido, MD, for editing the manuscript.

Conflict of interest

No funds were received in support of this work. No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.

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Authors and Affiliations

  1. Orthopaedic Departement Parc de Salut Mar, Universitat Autònoma Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain

    Raúl Torres-Claramunt, Manuel Ramírez, Guillem Saló, Antoni Molina-Ros & Andreu Lladó

  2. Orthopaedic Department ICATME, Institut Universitari Dexeus, Carrer Sabino Arana 5-19, 08017, Barcelona, Spain

    Enric Cáceres

  3. Haematologic Department, Parc de Salut Mar, Universitat Autònoma Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain

    Mercedes López-Soques

Authors
  1. Raúl Torres-Claramunt
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  2. Manuel Ramírez
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  3. Mercedes López-Soques
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  4. Guillem Saló
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  5. Antoni Molina-Ros
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  7. Enric Cáceres
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Correspondence to Raúl Torres-Claramunt.

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Torres-Claramunt, R., Ramírez, M., López-Soques, M. et al. Predictors of blood transfusion in patients undergoing elective surgery for degenerative conditions of the spine. Arch Orthop Trauma Surg 132, 1393–1398 (2012). https://doi.org/10.1007/s00402-012-1563-y

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  • DOI: https://doi.org/10.1007/s00402-012-1563-y

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