Cardiothoracic & vascular anesthesia

Impact of Red Blood Cell Transfusion on In-hospital Mortality of Isolated Coronary Artery Bypass Graft Surgery: A Retrospective Observational Study of French Nationwide 3-year Cohort

Ann SurgPublished Retrospective cohort study

Authors' conclusion

Despite a modest patients' exposure to transfusion, this study suggests that RBC administration is an independent factor of in-hospital mortality in isolated CABG surgery.

Study context

Population
Consecutive adults undergoing isolated coronary artery bypass graft (CABG) surgery in France, January 1, 2016, to December 31, 2018
Participants
37,498 adults
Exposure
Moderate or massive red blood cell (RBC) transfusion vs no transfusion
Outcome
In-hospital mortality rate
Methodological detailsnational database
  • National database

Main finding

As reported in the abstract

In-hospital mortality
Adjusted for confounding variables
Each group vs no transfusionOdds ratio (95% CI)P value
Moderate transfusion
1.66(1.27–2.19)
P < 0.001
Massive transfusion
6.40(5.07–8.09)
P < 0.001
Overall in-hospital mortality rate
1.45%
Overall RBC transfusion rate
9.4%

Observational data: associations, not effects.

Original publication

Impact of Red Blood Cell Transfusion on In-hospital Mortality of Isolated Coronary Artery Bypass Graft Surgery: A Retrospective Observational Study of French Nationwide 3-year Cohort. Ann Surg. Published 28 June 2022. doi:10.1097/sla.0000000000005488

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