Hemodynamics, fluids & transfusion

Low-Volume Acute Normovolemic Hemodilution Does Not Reduce Allogeneic Red Blood Cell Transfusion in Cardiac Surgery in the Modern Era of Patient Blood Management: A Propensity Score-Matched Cohort Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Main findingResult — go to the resultOdds ratio 0.72 95% CI 0.32–1.55

Authors' conclusion

Low-volume ANH was not associated with a significant reduction in perioperative allogeneic RBC transfusion during cardiac surgery with CPB using low-priming-volume circuits.

Study context

Population
Patients undergoing elective cardiac surgery with cardiopulmonary bypass (CPB) using low-priming-volume circuits, single university hospital, January 2017–March 202249 acute normovolemic hemodilution (ANH) matched to 97 controls
Participants
542 patients
Exposure
Low-volume ANH vs no ANH
  • ANHn = 49
  • Controln = 97reference
Outcome
Proportion of patients receiving perioperative red blood cell (RBC) transfusion
Methodological detailspropensity-score matched, single-centre
  • Propensity-score matched
  • Single-centre

Main finding

As reported in the abstract

Odds ratio

0.72

95% CI 0.32–1.55

P = 0.42

By group

ANH vs Control
OR 0.72 (95% CI 0.32–1.55); P = 0.42

Observational data: associations, not effects.

Further findings

ANH volume
450 · median · IQR 400–800 · mL

Original publication

Low-Volume Acute Normovolemic Hemodilution Does Not Reduce Allogeneic Red Blood Cell Transfusion in Cardiac Surgery in the Modern Era of Patient Blood Management: A Propensity Score-Matched Cohort Study. J Cardiothorac Vasc Anesth. Published 4 November 2023. doi:10.1053/j.jvca.2023.11.003

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