Influence factors of perioperative blood transfusion in patients with aortic dissection surgery
Zhang Weimei
Shen Xin
Chang Ying
Zhang Hui
Dai Ping
Hao Xing
Abstract：Objective To analyze influence factors of perioperative blood transfusion in patients with aortic dissection surgery.Methods Clinical data of 318 patients who had aortic dissection surgery in Beijing Anzhen Hospital,Capital Medical University from January to December 2016 were analyzed retrospectively.Perioperative erythrocyte transfusion volume was recorded.The relation among plasma transfusion volume,erythrocyte transfusion volume and activated partial thromboplastin time (APTT) was analyzed by Pearson test.Influence factors of erythrocyte transfusion volume were analyzed by multiple linear logistic regression.Results In 318 patients,the average erythrocyte transfusion volume in female was significantly higher than that in male [(9 ±5)U vs (6 ±5)U] (P ＜0.05).In 306 patients who had cardiopulmonary bypass(CPB),the average erythrocyte transfusion volume in CPB time ＞ 200 min group (151 cases) was significantly higher than that in CPB time ＜200 min group (155 cases) [(9 ± 5) U vs (5 ± 4) U] (P ＜ 0.05).In 318 patients,57 patients (17.9％) were not transfused erythrocyte;261 patients (82.1％) with erythrocyte transfusion were divided into ＜ 5 U group (82 cases.),5-＜ 11 U group(109 cases),11-16 U group(47 cases) and ＞ 16 U group(23 cases).The length of hospital stay significantly increased with erythrocyte transfusion volume (P ＜ 0.05).Pearson analysis showed a significant positive correlation between plasma transfusion volume and erythrocyte transfusion volume (r =0.699,P ＜0.001);there was no correlation between plasma transfusion volume and ApTT (r =0.109,P =0.051).Logistic analysis showed that female and CPB time ＞ 200 min were influence factors of erythrocyte transfusion volume.Conclusion Female and CPB time ＞ 200 min were influence factors of perioperative erythrocyte transfusion volume in patients undergoing aortic dissection surgery.
Keywords：Dissection of aortaPerioperative blood transfusion
Publication Date：2017-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 1632-1635 )