ArticleJournal of cardiothoracic surgery2009
Predictors of packed red cell transfusion after isolated primary coronary artery bypass grafting--the experience of a single cardiac center: a prospective observational study.
Article in Journal of cardiothoracic surgery, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 39 citations in OpenAlex.
- Red blood cell mass as a predictor of transfusion risk of packed red blood cells in cardiac surgery patients requiring cardiopulmonary bypass.Surgery in practice and science · 2025Article
- Evaluation of Plasma Fibrinogen Levels before and after Coronary Artery Bypass Graft Surgery and Its Association with the Need for Blood Products.Advanced biomedical research · 2022Article
- Risk-Prediction Model for Transfusion of Erythrocyte Concentrate During Extracorporeal Circulation in Coronary Surgery.Brazilian journal of cardiovascular surgery · 2021Observational
- Article
- Adverse Outcomes of Perioperative Red Blood Cell Transfusions in Coronary Artery Bypass Grafting in Hospital Universiti Sains Malaysia.The Malaysian journal of medical sciences : MJMS · 2019Article
- Risk of massive blood product requirement in cardiac surgery: A large retrospective study from 2 heart centers.Medicine · 2019Observational
- Benchmarking the use of blood products in cardiac surgery to stimulate awareness of transfusion behaviour : Results from a four-year longitudinal study.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2017Article
- Predicting red blood cell transfusion in hospitalized patients: role of hemoglobin level, comorbidities, and illness severity.BMC health services research · 2014Article
- BMI Is an Independent Preoperative Predictor of Intraoperative Transfusion and Postoperative Chest-Tube Output.The International journal of angiology : official publication of the International College of Angiology, Inc · 2013Article
- Effect of body mass index on postoperative transfusions and 24-hour chest-tube output.The International journal of angiology : official publication of the International College of Angiology, Inc · 2011Article
- Factors influencing transfusion requirement in patients undergoing first-time, elective coronary artery bypass graft surgery.Asian journal of transfusion scienceArticle
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreoperative patients' characteristics can predict the need for perioperative blood component transfusion in cardiac surgical operations. The aim of this prospective observational study is to identify perioperative patient characteristics predicting the need for allogeneic packed red blood cell (PRBC) transfusion in isolated primary coronary artery bypass grafting (CABG) operations. PATIENTS AND
methods105 patients undergoing isolated, first-time CABG were reviewed for their preoperative variables and followed for intraoperative and postoperative data. Patients were 97 males and 8 females, with mean age 58.28 +/- 10.97 years. Regression logistic analysis was used for identifying the strongest perioperative predictors of PRBC transfusion.
resultsPRBC transfusion was used in 71 patients (67.6%); 35 patients (33.3%) needed > 2 units and 14 (13.3%) of these needed > 4 units. Univariate analysis identified female gender, age > 65 years, body weight < or = 70 Kg, BSA < or = 1.75 m(2), BMI < or = 25, preoperative hemoglobin < or = 13 gm/dL, preoperative hematocrit < or = 40%, serum creatinine > 100 micromol/L, Euro SCORE (standard/logistic) > 2, use of CPB, radial artery use, higher number of distal anastomoses, and postoperative chest tube drainage > 1000 mL as significant predictors. The strongest predictors using multivariate analysis were CPB use, hematocrit, body weight, and serum creatinine.
conclusionThe predictors of PRBC transfusion after primary isolated CABG are use of CPB, hematocrit < or = 40%, weight < or = 70 Kg, and serum creatinine > 100 micromol/L. This leads to better utilization of blood bank resources and cost-efficient targeted use of expensive blood conservation modalities.
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