Risk analysis of blood transfusion requirements in emergency and elective spinal surgery

摘要: Spinal surgery has long been considered to have an elevated risk of perioperative blood loss with significant associated transfusion requirements. However, a great variability exists in the and requirements differing patients procedures area spinal surgery. We performed retrospective study all undergoing who required ≥1 U red cells (RBC) at National Injuries Unit (NSIU) Mater Misericordiae University Hospital over 10-year period. The purpose this was identify factors allowing early recognition greatest risk, improve existing practices safer, more appropriate product allocation. 1,596 surgical were NSIU 25.9% (414/1,596) these cases (n = 414). Surgical groups requiring >2 RBC included deformity (RR 3.351, 95% CI 1.123–10.006, p 0.03), tumor 3.298, 1.078–10.089, 0.036), trauma 2.444, 1.183–5.050, 0.036). Multivariable logistic regression analysis identified multilevel (>3 levels) as 4.682, 2.654–8.261, < 0.0001). Several patient corresponding A greater awareness is order optimize management.