Evidence map›Paper›PMID 32454830›Full record

ArticleAdvances in hematology2020

Blood Management and Risk Assessment for Transfusion in Pediatric Spinal Deformity Surgery.

Pedro Fernandes, Joaquim Soares do Brito, Isabel Flores, Jacinto Monteiro

Open access · goldAbstract read
In one paragraph

Article in Advances in hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 45% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Allogeneic Transfusion-related Adverse Events in Pediatric Idiopathic Scoliosis Surgery.Journal of the Pediatric Orthopaedic Society of North America · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Pedro FernandesOrthopedic Department, University Hospital of Santa Maria, Lisbon, Portugal.
Joaquim Soares do BritoOrthopedic Department, University Hospital of Santa Maria, Lisbon, Portugal.ORCID https://orcid.org/0000-0003-0132-7526
Isabel FloresISCTE, IF Data, Lisbon, Portugal.
Jacinto MonteiroOrthopedic Department, University Hospital of Santa Maria, Lisbon, Portugal.
Hospital de Santa Maria · PTIscte – Instituto Universitário de Lisboa · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEvaluate the impact of a Quality and Safety Program (QSP) on the reduction of blood loss and transfusion needs in pediatric spinal deformity surgery, while defining risk factors for transfusion.

backgroundMultimodal plan aiming to minimize transfusion needs has been shown to reduce transfusions and index rates in spinal deformity surgery. Anticipating blood loss and transfusion may help direct resources to patient needs or encourage reconsideration of the surgical plan.

methodsThis is a single-center retrospective study of prospectively collected data. Impact of this multimodal plan was studied on idiopathic deformities (Group A, 109 patients) and scoliosis associated with syndromic, neuromuscular, and muscular dystrophies (Group B, 100 patients), both before and after QSP.

resultsA decrease in total estimated blood loss was observed. In Group A, transfused patients decreased from 83.7% to 28% (

conclusionTransfusion needs in scoliosis surgery can be substantially reduced following a multimodal approach. The success of a program is strongly dependent on team effort, and the introduction of a risk assessment tool for transfusion needs indirectly assesses surgical risk, thus allowing relocation of resources to decrease blood loss.

Identifiers

PMID32454830
PMCPMC7229536
OpenAlexW3020870877

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.