ArticleJournal of cardiothoracic surgery2012
Outcomes in cardiac surgery in 500 consecutive Jehovah's Witness patients: 21 year experience.
Article in Journal of cardiothoracic surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 70 citations in OpenAlex.
- Pulmonary Thromboendarterectomy in a Jehovah's Witness Patient, Case Report.Annals of cardiac anaesthesia · 2025Article
- The Limits of Acute Anemia.Journal of clinical medicine · 2022Review
- Physician autonomy and patient rights: lessons from an enforced blood transfusion and the role of patient blood management.Vox sanguinis · 2021Review
- Review
- Successful transcatheter aortic valve implantation in a Jehovah's Witness patient with a small aortic root and severe leaflet calcification.Journal of cardiology cases · 2020Article
- Blood management in fast-track orthopedic surgery: an evidence-based narrative review.Journal of orthopaedic surgery and research · 2019Review
- Long-term survival and quality of life in Jehovah's witnesses after cardiac surgery: a case control study.BMC cardiovascular disorders · 2019Article
- Optimization of blood loss during robotic IVC thrombectomy in a Jehovah's witness: a case report with 14-month follow up.Journal of robotic surgery · 2018Article
- Implementing a protocol to optimize blood use in a cardiac surgery service: results of a pre-post analysis and the impact of high-volume blood users.Transfusion · 2017Article
- Results of open heart surgery in Jehovah's Witness patients. Single centre experience.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2017Article
- Reflections on Cultural Preferences and Internal Medicine: The Case of Jehovah's Witnesses and the Changing Thresholds for Blood Transfusions.Journal of religion and health · 2017Review
- Postponed surgery of an acute aortic dissection (type A) in a Jehovah's Witness with significant hemostatic disorders.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2016Article
- ATS Core Curriculum 2016: Part II. Adult Critical Care Medicine.Annals of the American Thoracic Society · 2016Article
- Outcomes from cardiac surgery in Jehovah's witness patients: experience over twenty-one years.Journal of cardiothoracic surgery · 2016Article
- Heart-Failing Jehovah's Witness Patient Successfully Treated by Minimally Invasive LVAD Implantation without Any Blood Transfusions.The Thoracic and cardiovascular surgeon reports · 2015Article
- Surgery in Jehovah's Witnesses - our experience.Przeglad gastroenterologiczny · 2015Article
- Repeat Minimally Invasive Mitral Valve Replacement for Recurrent Mitral Stenosis after OMC in Patients Who Decline Blood Product Transfusion for Religious Reasons.Case reports in surgery · 2015Article
- Surgery without Blood Transfusion for Giant Paraganglioma in a Jehovah's Witness Patient.Case reports in oncology · 2014Article
- Coronary artery bypass grafting in Jehovah's Witness patients: a retrospective propensity matched cohort study.Brazilian journal of anesthesiology (Elsevier)Observational
- Cardiac Surgery in Jehovah's Witness Patients: Experience of a Brazilian Tertiary Hospital.Brazilian journal of cardiovascular surgeryArticle
Corrections and comments
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Authors and funding
21 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRefusal of heterogenic blood products can be for religious reasons as in Jehovah's Witnesses or otherwise or as requested by an increasing number of patients. Furthermore blood reserves are under continuous demand with increasing costs. Therefore, transfusion avoidance strategies are desirable. We describe a historic comparison and current results of blood saving protocols in Jehovah's Witnesses patients.
methodsData on 250 Jehovah's Witness patients operated upon between 1991 and 2003 (group A) were reviewed and compared with a second population of 250 patients treated from 2003 to 2012 (group B).
resultsIn group A, mean age was 51 years of age compared to 68 years in group B. An iterative procedure was performed in 13% of patients in group B. Thirty days mortality was 3% in group A and 1% in group B despite greater operative risk factors, with more redo, and lower ejection fraction in group B. Several factors contributed to the low morbidity-mortality in group B, namely: preoperative erythropoietin to attain a minimal hemoglobin value of 14 g/dl, warm blood cardioplegia, the implementation of the Cornell University protocol and fast track extubation.
conclusionsCardiac surgery without transfusion in high-risk patients such as Jehovah Witnesses can be carried out with results equivalent to those of low risk patients. Recent advances in surgical techniques and blood conservation protocols are main contributing factors.
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