Predictors of transfusion for spinal surgery in Maryland, 1997 to 2000

摘要: BACKGROUND: The purpose of this study was to identify preoperative patient, hospital, and surgeon characteristics associated with transfusion for spinal surgery. STUDY DESIGN AND METHODS: Discharge data were obtained from 39 Maryland hospitals adult patients (n = 3988) who had a primary procedure code surgery between July 1997 through June 2000, these codes, surgeons characterized by annual patient volume. Outcome variables included any allogeneic transfusion, RBCs, autologous blood, FFP, or platelet transfusion. Logistic regression used univariate multivariate analyses. RESULTS: Characteristics independently an increased risk receiving 786) age >54 (OR, 1.6; 95% CI, 1.3-2.1), >66 2.7; 2.0-3.5), female sex 1.2-2.0), diabetes chronic complications 2.5; 1.3-4.9), metastatic tumor 4.9; 2.3-10.5), emergency room admission 2.3; 1.4-3.8), greater hospital volume 4.0; 1.8-8.6). transfusions 574) white race 1.7; 1.2-2.4), 1.4; 1.1-1.8), 3.5; 1.4-9.1). DISCUSSION: This information can be provide informed risk-benefit discussions regarding the blood as well target high-risk institutions interventions reduce exposure components.