39-220
Autotransfusión predepósito en cirugía ortopédica mayor en España
Predeposit autologous transfusion in orthopedic elective surgery in Spain
J. A. GARCÍA ERCE*, J. CUENCA ESPIÉRREZ**, A. MARTÍNEZ MARTÍN**, M. MALILLOS TORÁN**, V. M. SOLANO BERNAD***, A.H. RODRÍGUEZ* SERVICIO DE HEMATOLOGÍA Y HEMOTERAPIA*, SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA**, SERVICIO DE MEDICINA PREVENTIVA Y SALUD PÚBLICA***. HOSPITAL UNIVERSITARIO MIGUEL SERVET. ZARAGOZA.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
Objetive: Reviewed and analyzed the Spanish communications
defended at different national and international
congress or meetings, and done an meta-analysis to estimate
the possible preoperative autologous blood donation (PABD)
benefit at Spain. Patients and Methods: We hav reviewed
abstracts presented by Spanish groups in several national
(AEHH and SETS from 1995) and international congresses and
meetings (AABB and NATA from 2000 to 2002). A meta-analysis
estimating the benefit of PABD in our country has been
performed. The variables analyzed were: period, number, surgery,
rejection rate, autologous units wished, drawn and
transfused; total transfusion; yield (transfused/drawn) and
effectiveness. Results: The selection (only Orthopedic
Surgery) included 2,933 patients, rejected rate 9.3% (C95%:
8.1-10.7) (range: 5.5 and 19.5%), yield 67.8% (CI95%: 66.1-69.5)
(range: 17-94), donation 2.35 U (CI95%: 2.337-2.367) (range
1.73-3.6), transfused 1.84 autologous U (CI95%: 1.818-1.853)
(range 0.74-2.85), and only autologous 75.9% (CI95%: 74.2-
77.6) (range 10-100%).
Conclusion: There is little communication of the Spanish
National transfusion experience of PABD which shows the
large differences between groups and regions. In our analysis
we found that in Spain one patient in 10 is rejected; we
transfuse 2 of 3 autologous drawn, avoiding allogeneic use in
4 of each 5 of our patients.
defended at different national and international
congress or meetings, and done an meta-analysis to estimate
the possible preoperative autologous blood donation (PABD)
benefit at Spain. Patients and Methods: We hav reviewed
abstracts presented by Spanish groups in several national
(AEHH and SETS from 1995) and international congresses and
meetings (AABB and NATA from 2000 to 2002). A meta-analysis
estimating the benefit of PABD in our country has been
performed. The variables analyzed were: period, number, surgery,
rejection rate, autologous units wished, drawn and
transfused; total transfusion; yield (transfused/drawn) and
effectiveness. Results: The selection (only Orthopedic
Surgery) included 2,933 patients, rejected rate 9.3% (C95%:
8.1-10.7) (range: 5.5 and 19.5%), yield 67.8% (CI95%: 66.1-69.5)
(range: 17-94), donation 2.35 U (CI95%: 2.337-2.367) (range
1.73-3.6), transfused 1.84 autologous U (CI95%: 1.818-1.853)
(range 0.74-2.85), and only autologous 75.9% (CI95%: 74.2-
77.6) (range 10-100%).
Conclusion: There is little communication of the Spanish
National transfusion experience of PABD which shows the
large differences between groups and regions. In our analysis
we found that in Spain one patient in 10 is rejected; we
transfuse 2 of 3 autologous drawn, avoiding allogeneic use in
4 of each 5 of our patients.
Palabras clave (ES):
Transfusión
Ortopédica
Autotransfusión
Predonación
Sangre
Predepósito
Perioperatoria
Hemorragia
Anemia
Cirugía
Resumen (EN)
Objetive: Reviewed and analyzed the Spanish communications
defended at different national and international
congress or meetings, and done an meta-analysis to estimate
the possible preoperative autologous blood donation (PABD)
benefit at Spain. Patients and Methods: We hav reviewed
abstracts presented by Spanish groups in several national
(AEHH and SETS from 1995) and international congresses and
meetings (AABB and NATA from 2000 to 2002). A meta-analysis
estimating the benefit of PABD in our country has been
performed. The variables analyzed were: period, number, surgery,
rejection rate, autologous units wished, drawn and
transfused; total transfusion; yield (transfused/drawn) and
effectiveness. Results: The selection (only Orthopedic
Surgery) included 2,933 patients, rejected rate 9.3% (C95%:
8.1-10.7) (range: 5.5 and 19.5%), yield 67.8% (CI95%: 66.1-69.5)
(range: 17-94), donation 2.35 U (CI95%: 2.337-2.367) (range
1.73-3.6), transfused 1.84 autologous U (CI95%: 1.818-1.853)
(range 0.74-2.85), and only autologous 75.9% (CI95%: 74.2-
77.6) (range 10-100%).
Conclusion: There is little communication of the Spanish
National transfusion experience of PABD which shows the
large differences between groups and regions. In our analysis
we found that in Spain one patient in 10 is rejected; we
transfuse 2 of 3 autologous drawn, avoiding allogeneic use in
4 of each 5 of our patients.
defended at different national and international
congress or meetings, and done an meta-analysis to estimate
the possible preoperative autologous blood donation (PABD)
benefit at Spain. Patients and Methods: We hav reviewed
abstracts presented by Spanish groups in several national
(AEHH and SETS from 1995) and international congresses and
meetings (AABB and NATA from 2000 to 2002). A meta-analysis
estimating the benefit of PABD in our country has been
performed. The variables analyzed were: period, number, surgery,
rejection rate, autologous units wished, drawn and
transfused; total transfusion; yield (transfused/drawn) and
effectiveness. Results: The selection (only Orthopedic
Surgery) included 2,933 patients, rejected rate 9.3% (C95%:
8.1-10.7) (range: 5.5 and 19.5%), yield 67.8% (CI95%: 66.1-69.5)
(range: 17-94), donation 2.35 U (CI95%: 2.337-2.367) (range
1.73-3.6), transfused 1.84 autologous U (CI95%: 1.818-1.853)
(range 0.74-2.85), and only autologous 75.9% (CI95%: 74.2-
77.6) (range 10-100%).
Conclusion: There is little communication of the Spanish
National transfusion experience of PABD which shows the
large differences between groups and regions. In our analysis
we found that in Spain one patient in 10 is rejected; we
transfuse 2 of 3 autologous drawn, avoiding allogeneic use in
4 of each 5 of our patients.
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