Trends in the utilization of blood transfusions in spinal fusion in the United States from 2000 to 2009.

摘要: STUDY DESIGN: Retrospective study. OBJECTIVE: The purpose of this study was to examine the trends in utilization blood transfusions spinal fusion United States from 2000 2009. SUMMARY OF BACKGROUND DATA: Spinal is among most common surgical procedures that necessitate transfusion. Blood transfusion methods include predonated autologous (PR-ABT), perioperative (PE-ABT) (intraoperative and postoperative collection), allogeneic (ALBT). these during past decade are uncertain. METHODS: Nationwide Inpatient Sample used identify patients who underwent 2009, using International Classification Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes. Patients received PR-ABT, PE-ABT, ALBT were identified appropriate ICD-9-CM Patient demographics, variables, hospital characteristics data retrieved. Trends analyzed. RESULTS: From there an increasing trend rate (4.3%-8.0%, P < 0.001) a decreasing PR-ABT (2.6%-0.7%, fusion. overall PE-ABT rates remained stable. high subgroups patients, such as pediatric elderly female with increased Elixhauser Comorbidity Score, Medicare thoracolumbar, posterior, anterior posterior CONCLUSION: During decade, increased, whereas decreased US hospitals. stable; however, it may be reduced by patient management program, targeting rate. LEVEL EVIDENCE: 3.