Factors associated with blood product requirements during the transoperative period in pediatric patients.

IF 0.6 Q4 PEDIATRICS

Boletín médico del Hospital Infantil de México Pub Date : 2023-01-01 DOI:10.24875/BMHIM.22000077

Esthela L Viazcán-Sánchez, Aurora Gómez-Galván, Diana Moyao-García, Jessie N Zurita-Cruz

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引用次数: 0

Abstract

Background: The efficiency of blood products (BP) requisition in elective non-cardiac surgeries is inherently complex. Moreover, it is aggravated in the pediatric population. This study aimed to identify the factors associated with using less than the requested BP during the transoperative period in pediatric patients undergoing elective non-cardiac surgery.

Methods: We conducted a cross-sectional comparative study including 320 patients undergoing elective non-cardiac surgery for whom BPs were requested. Low requirements were considered when less than 50% of the requested amount or no BPs were used, and high requirements when more than the requested amount was used. The Mann-Whitney's U test was applied for comparative analysis, and multiple logistic regression was used to adjust for factors associated with lower requirements.

Results: The median age of the patients was 3 years. From 320 patients, 68.1% (n = 218) received less than the requested amount of BP, while only 1.25% (n = 4) received more than the requested amount of BP. Factors associated with transfusion of less than the requested BPs were prolonged clotting time (odds ratio (OR) = 2.66) and anemia (OR = 0.43).

Conclusions: Factors associated with lower than requested BP transfusion were prolonged clotting time and anemia.

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儿科患者手术期间血液制品需求的相关因素

背景:选择性非心脏手术中血液制品(BP)征用的效率本质上是复杂的。此外，它在儿科人群中更为严重。本研究旨在确定在非心脏手术的儿科患者手术期间使用低于要求血压的相关因素。方法:我们进行了一项横断面比较研究，包括320例接受选择性非心脏手术并要求bp的患者。当使用不到请求量的50%或没有使用bp时，考虑低需求;当使用超过请求量时，考虑高需求。采用Mann-Whitney's U检验进行比较分析，并采用多元逻辑回归对低要求相关因素进行调整。结果:患者中位年龄为3岁。在320例患者中，68.1% (n = 218)的血压低于要求，而只有1.25% (n = 4)的血压高于要求。与输血低于要求血压相关的因素是凝血时间延长(优势比(OR) = 2.66)和贫血(OR = 0.43)。结论:低血压输血与凝血时间延长和贫血有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Boletín médico del Hospital Infantil de México PEDIATRICS-

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： The Boletín Médico del Hospital Infantil de México is a bimonthly publication edited by the Hospital Infantil de México Federico Gómez. It receives unpublished manuscripts, in English or Spanish, relating to paediatrics in the following areas: biomedicine, clinical, public health, clinical epidemology, health education and clinical ethics. Articles can be original research articles, in-depth or systematic reviews, clinical cases, clinical-pathological cases, articles about public health, letters to the editor or editorials (by invitation).