Cardiothoracic & vascular anesthesia

Timing of Blood Transfusions and 30-Day Patient Outcomes After Coronary Artery Bypass Graft Surgery

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

The authors' data suggested that the postoperative timing of transfusion in patients undergoing coronary artery bypass graft surgery may be associated with an increased incidence of 30-day heart failure and readmission.

Study context

Population
Adults undergoing primary CABG at a single tertiary-care academic hospital, January 2014–December 20201,588 (36%) transfused
Participants
2,481 adults
Exposure
Timing of RBC transfusion vs no transfusion
  • Intraoperativen = 182
  • Postoperativen = 489
  • Bothn = 222
Outcome
30-day postoperative outcomes
Follow-up
30 days
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

30-day readmission and heart failure
Postoperative vs No transfusionsOdds ratio (CI)P value
Readmission
1.83(1.32–2.54)
P = 0.002
Heart failure
1.64(1.2–2.23)
P = 0.008

Observational data: associations, not effects.

Original publication

Timing of Blood Transfusions and 30-Day Patient Outcomes After Coronary Artery Bypass Graft Surgery. J Cardiothorac Vasc Anesth. Published 26 November 2022. doi:10.1053/j.jvca.2022.11.029

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