Cardiothoracic & vascular anesthesia

The Relationship Between Transfusion in Cardiac Surgery Patients and Adverse Outcomes

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

The authors demonstrated a strong independent association between RBC transfusion volume and adverse outcomes after cardiac surgery.

Study context

Population
Patients undergoing CABG and/or valvular surgery, single university hospital, July 2014–January 2018
Participants
2,458 patients
Exposure
Volume of red blood cell (RBC) transfusion
Outcome
Occurrence of an adverse event or prolonged intubation
Methodological detailssingle-centre, multivariate logistic regression
  • Single-centre
  • Multivariate logistic regression

Main finding

As reported in the abstract

Risk per additional unit of RBC transfused
Prolonged intubation
OR 1.493; P < 0.0001
Infectious composite outcomes
OR 1.358; P < 0.0001
Adverse renal outcomes
OR 1.247; P < 0.0001
Any adverse event
OR 1.467; P < 0.0001

Observational data: associations, not effects.

Original publication

The Relationship Between Transfusion in Cardiac Surgery Patients and Adverse Outcomes. J Cardiothorac Vasc Anesth. Published 8 March 2024. doi:10.1053/j.jvca.2024.03.003

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