Back to Search
Start Over
Retrospective analysis of autologous blood use in bimaxillary repositioning osteotomy surgery: a quality improvement study
Retrospective analysis of autologous blood use in bimaxillary repositioning osteotomy surgery: a quality improvement study
- Source :
- Transfusion. 49:1747-1753
- Publication Year :
- 2009
- Publisher :
- Wiley, 2009.
-
Abstract
- BACKGROUND: Multiple studies have considered the necessity of preoperative autologous blood donation before bimaxillary orthognathic osteotomies. In the context of a quality improvement project, this topic was also investigated in our institution. Furthermore, the transfusion practice was analyzed and the correlations between patient, operative variables, and blood loss were studied. STUDY DESIGN AND METHODS: In accordance with the recommendations of the Federal Medical Association and the Federal Ministry for Health and Social Security, a transfusion demand list was compiled using data of 82 patients who underwent bimaxillary orthognathic surgery between 1997 and 2005. The maximum blood loss tolerable without transfusion (MBL) was calculated for each patient on the basis of sex, weight, height, and preoperative hematocrit (Hct). This was compared with the actual transfusion and blood loss data. RESULTS: An autologous blood donation was carried out in 65 of 82 patients (79.3%). Sixty-two of 65 autologous blood donors (95.4%) and 2 of 17 patients (11.8%) without autologous blood donation received transfusion. The actual blood loss did not exceed the calculated MBL in 48 of the 82 cases. Nevertheless, 31 of these 48 patients (64.6%) received transfusions. For patients with a low calculated MBL, only a trend to a higher transfusion rate was observed, although the actual blood loss in these cases more often exceeded the individually calculated MBL (p
- Subjects :
- Adult
Male
Quality Control
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Immunology
Autologous blood
Blood Loss, Surgical
Orthognathic surgery
Blood Donors
Context (language use)
Hematocrit
Osteotomy
Blood Transfusion, Autologous
Sex Factors
Blood loss
Germany
Retrospective analysis
Humans
Immunology and Allergy
Medicine
Retrospective Studies
medicine.diagnostic_test
Orthognathic Surgical Procedures
business.industry
Body Weight
Hematology
Middle Aged
Surgery
Donation
Female
business
Subjects
Details
- ISSN :
- 15372995 and 00411132
- Volume :
- 49
- Database :
- OpenAIRE
- Journal :
- Transfusion
- Accession number :
- edsair.doi.dedup.....30208944a55b2d4a1f3d520ff1b5f565
- Full Text :
- https://doi.org/10.1111/j.1537-2995.2009.02169.x