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Preoperative anemia versus blood transfusion: Which is the culprit for worse outcomes in cardiac surgery?


ABSTRACT: BACKGROUND:Reducing blood product utilization after cardiac surgery has become a focus of perioperative care as studies have suggested improved outcomes. The relative impact of preoperative anemia versus packed red blood cells (PRBC) transfusion on outcomes remains poorly understood, however. In this study, we investigated the relative association between preoperative hematocrit (Hct) level and PRBC transfusion on postoperative outcomes after coronary artery bypass grafting (CABG) surgery. METHODS:Patient records for primary, isolated CABG operations performed between January 2007 and December 2017 at 19 cardiac surgery centers were evaluated. Hierarchical logistic regression modeling was used to estimate the relationship between baseline preoperative Hct level as well as PRBC transfusion

SUBMITTER: LaPar DJ 

PROVIDER: S-EPMC6093299 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature