Pediatric anesthesia & critical care
The association between intraoperative fluid management and perioperative allogenic blood transfusion during adolescent idiopathic scoliosis surgery
Authors' conclusion
These results indicate a statistical association between the increase in crystalloid intake and the risk of allogenic blood transfusion during surgical correction of adolescent idiopathic scoliosis.
Study context
- Population
- Adolescents undergoing surgical correction of idiopathic scoliosis, single centre, 2018–2020included in analysis
- Participants
- 200 adolescents
- Outcome
- Perioperative allogenic blood transfusion (predictors incl. volume of intraoperative crystalloid)
Methodological detailssingle-centre, multivariable logistic regression
- Single-centre
- Multivariable logistic regression
Main finding
As reported in the abstract
Predictors of allogenic blood transfusion
Model AUC (ROC analysis)
0.85
95% CI 0.75–0.95
Observational data: associations, not effects.
Further findings
- Esophageal Doppler stroke volume optimisation associated with decreased intraoperative crystalloid intake
Original publication
The association between intraoperative fluid management and perioperative allogenic blood transfusion during adolescent idiopathic scoliosis surgery. Paediatr Anaesth. Published 29 June 2023. doi:10.
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