34-197
Riesgo de transfusión perioperatoria en la cirugía del fémur
Likelihood of being transfused in femur surgery
V. PINTO GARCIA*, M. OJANGUREN CASERO ** *SERVICIO DE HEMATOLOGÍA. ** SERVICIO DE TRAUMATOLOGÍA. HOSPITAL CENTRAL DE ASTURIAS. OVIEDO
Recepción:
12/09/2008
Aceptación:
12/09/2008
Publicación:
12/09/2008
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Resumen (ES)
The purpose is to analyse the likelihood of perioperative
transfu-sion in femur surgery using the data of the abstracted patient
discharge records. Patients with femur surgical procedures performed
during 1996 in the Central Hospital of Asturias were studied.
The abstracted patient discharge records were codified according to
the ICD-9-CM codes. Gender, age, diagnosis, procedures, among
them the transfusions of blood derivatives and the surgical procedures
were analysed. Out of 256 operated patients, 64 (25%) were
transfused. The groups of patients more frequently transfused were
those more older than 70 years (29.5%), femur fracture (27.7%), and
patients undergoing three o more surgical techniques during the surgical
intervention (50%). By multivariate logistic regression analysis,
the age and the number of surgical techniques where factors independently
related with the likelihood of being transfused. The adjusted
odds ratio of perioperative transfusion in patients older than
70 year is 2.49 times in relation with the rest of people (p: 0.01),
and in patients who undergoing three o more surgical techniques
4.03 times in relation to those with 1 o 2 surgeries (p: 0.015).
Among the variables studied, age and the number surgical techniques
(as an indirect surgical complexity index) are factors independently
related with the likelihood of being transfused.
transfu-sion in femur surgery using the data of the abstracted patient
discharge records. Patients with femur surgical procedures performed
during 1996 in the Central Hospital of Asturias were studied.
The abstracted patient discharge records were codified according to
the ICD-9-CM codes. Gender, age, diagnosis, procedures, among
them the transfusions of blood derivatives and the surgical procedures
were analysed. Out of 256 operated patients, 64 (25%) were
transfused. The groups of patients more frequently transfused were
those more older than 70 years (29.5%), femur fracture (27.7%), and
patients undergoing three o more surgical techniques during the surgical
intervention (50%). By multivariate logistic regression analysis,
the age and the number of surgical techniques where factors independently
related with the likelihood of being transfused. The adjusted
odds ratio of perioperative transfusion in patients older than
70 year is 2.49 times in relation with the rest of people (p: 0.01),
and in patients who undergoing three o more surgical techniques
4.03 times in relation to those with 1 o 2 surgeries (p: 0.015).
Among the variables studied, age and the number surgical techniques
(as an indirect surgical complexity index) are factors independently
related with the likelihood of being transfused.
Palabras clave (ES):
Perioperatoria
Cirugía
Anemia
Hemorragia
Fémur
Riesgo
Transfusión
Resumen (EN)
The purpose is to analyse the likelihood of perioperative
transfu-sion in femur surgery using the data of the abstracted patient
discharge records. Patients with femur surgical procedures performed
during 1996 in the Central Hospital of Asturias were studied.
The abstracted patient discharge records were codified according to
the ICD-9-CM codes. Gender, age, diagnosis, procedures, among
them the transfusions of blood derivatives and the surgical procedures
were analysed. Out of 256 operated patients, 64 (25%) were
transfused. The groups of patients more frequently transfused were
those more older than 70 years (29.5%), femur fracture (27.7%), and
patients undergoing three o more surgical techniques during the surgical
intervention (50%). By multivariate logistic regression analysis,
the age and the number of surgical techniques where factors independently
related with the likelihood of being transfused. The adjusted
odds ratio of perioperative transfusion in patients older than
70 year is 2.49 times in relation with the rest of people (p: 0.01),
and in patients who undergoing three o more surgical techniques
4.03 times in relation to those with 1 o 2 surgeries (p: 0.015).
Among the variables studied, age and the number surgical techniques
(as an indirect surgical complexity index) are factors independently
related with the likelihood of being transfused.
transfu-sion in femur surgery using the data of the abstracted patient
discharge records. Patients with femur surgical procedures performed
during 1996 in the Central Hospital of Asturias were studied.
The abstracted patient discharge records were codified according to
the ICD-9-CM codes. Gender, age, diagnosis, procedures, among
them the transfusions of blood derivatives and the surgical procedures
were analysed. Out of 256 operated patients, 64 (25%) were
transfused. The groups of patients more frequently transfused were
those more older than 70 years (29.5%), femur fracture (27.7%), and
patients undergoing three o more surgical techniques during the surgical
intervention (50%). By multivariate logistic regression analysis,
the age and the number of surgical techniques where factors independently
related with the likelihood of being transfused. The adjusted
odds ratio of perioperative transfusion in patients older than
70 year is 2.49 times in relation with the rest of people (p: 0.01),
and in patients who undergoing three o more surgical techniques
4.03 times in relation to those with 1 o 2 surgeries (p: 0.015).
Among the variables studied, age and the number surgical techniques
(as an indirect surgical complexity index) are factors independently
related with the likelihood of being transfused.
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