NON-KARDİYAK CERRAHİ GİRİŞİM GEÇİREN PEDİATRİK HASTALARDA ERİTROSİT TRANSFÜZYONUNUN HASTA SONUÇLARINA ETKİSİ.

The number of studies examining the effect of erythrocyte transfusion on patient outcomes in patients undergoing non-cardiac surgery is very limited. This study aimed to determine the effect of erythrocyte transfusion on patient outcomes in pediatric patients undergoing non-cardiac surgery. This descriptive, comparative, and retrospective study included 144 pediatric patients who underwent elective, non-cardiac surgery in a private university hospital in 2018-2020. In the analysis of the data; the Mann-Whitney U test was applied to compare descriptive statistics and patient outcomes. In the study, the hemoglobin level at the discharged time of the patients and the total hospitalization time were determined as the primary patient outcome criteria. It was determined that there was no statistically significant difference between the two groups in terms of Hgb values (10.2 vs 10.8) at discharge (p > .01). When the hospitalization time was examined; it was determined that the hospitalization period (19.3 days) of the patients in the experimental group was statistically significantly higher than the control group (6.2 days) (p < .01). Erythrocyte transfusion increased hospitalization time in hospital of pediatric patients undergoing non-cardiac surgery. There is a need for the use of a restrictive transfusion strategy for pediatric patients undergoing non-cardiac surgery. In addition, approaches should be implemented to prevent unnecessary transfusions by increasing the communication between the multidisciplinary team and hemovigilance nurses and considering the clinical findings and diagnosis of patients. [ABSTRACT FROM AUTHOR]