Bloodless Cardiac Surgery- Comparison of Outcomes between Two Groups in Post Cardiac Surgery Patients with and without Blood Transfusions

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dc.contributor.authorMahapatra, Subhendu Sekharen_US
dc.contributor.authorChakrabarti, Jayitaen_US
dc.contributor.authorRathi, Rohit Kumaren_US
dc.date.accessioned2020-11-18T10:18:13Z
dc.date.available2020-11-18T10:18:13Z
dc.date.issued2020-04
dc.description.abstractBlood transfusion is an integral part of cardiac surgery; however, transfusion of blood and blood products has inherent hazards. Avoidance of blood transfusion during cardiac surgery eliminates the hazards of blood transfusion and improves the outcome. This study compares the post-operative outcome of patients who underwent cardiac surgery without blood transfusion with those who required multiple blood transfusions.METHODSPatients who underwent cardiac surgery in a unit in Department of Cardiothoracic and Vascular Surgery (CTVS), SSKM Hospital, between January 2017 to December 2018 were studied retrospectively. The study population was divided into 2 groups. Those patients who underwent cardiac surgery and did not receive blood transfusion were included in Group A (n=68) and those who received multiple blood transfusion were included in Group B (n=340). Statistical data was analysed.RESULTSThe recovery of patients in terms of mechanical ventilation time (mean, 8.2 vs 12.5 hrs.), length of Intensive Care Unit (ICU) stay (mean, 1.5 vs 3.3 days) was significantly shorter in group A patients than group B. The length of hospital stay also was significantly less in group A patients (mean 5.2 vs 7.3 days, p=<0.0001). Patients with history of smoking, chronic obstructive pulmonary disease (COPD), had higher incidences of blood transfusions (p-0.003, 0.001 respectively). There was lesser incidence of surgical site infection and respiratory complications in Group A patients, but it was not statistically significant. However, incidence of haematuria was more in Group B patients which was clinically significant (p = 0.011). There was no incidence of renal failure, mediastinal bleeding requiring re-exploration, jaundice and mortality in Group A patients.CONCLUSIONSCareful surgical and perfusion techniques, with meticulous haemostasis should be performed in all patients of cardiac surgery. Elimination of blood during cardiac surgery augments faster recovery of patients.en_US
dc.identifier.affiliationsDepartment of Cardio Thoracic and Vascular Surgery, IPGME&R and SSKM Hospital, (The West Bengal University of Health Sciences), Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Cardio Thoracic and Vascular Surgery, IPGME&R and SSKM Hospital, (The West Bengal University of Health Sciences), Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Cardio Thoracic and Vascular Surgery, IPGME&R and SSKM Hospital, (The West Bengal University of Health Sciences), Kolkata, West Bengal, India.en_US
dc.identifier.citationMahapatra Subhendu Sekhar, Chakrabarti Jayita, Rathi Rohit Kumar. Bloodless Cardiac Surgery- Comparison of Outcomes between Two Groups in Post Cardiac Surgery Patients with and without Blood Transfusions. Journal of Evolution of Medical and Dental Sciences. 2020 Apr; 9(14): 1184-1187en_US
dc.identifier.issn2278-4802
dc.identifier.issn2278-4748
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/214812
dc.languageenen_US
dc.publisherAkshantala Enterprises Private Limiteden_US
dc.relation.issuenumber14en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org//10.14260/jemds/2020/257en_US
dc.subjectBloodlessen_US
dc.subjectCardiac Surgeryen_US
dc.subjectOutcomesen_US
dc.subjectStrategiesen_US
dc.titleBloodless Cardiac Surgery- Comparison of Outcomes between Two Groups in Post Cardiac Surgery Patients with and without Blood Transfusionsen_US
dc.typeJournal Articleen_US
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