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首页> 外文期刊>Journal of Clinical Medicine >Red Blood Cell Transfusion Need for Elective Primary Posterior Lumbar Fusion in A High-Volume Center for Spine Surgery
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Red Blood Cell Transfusion Need for Elective Primary Posterior Lumbar Fusion in A High-Volume Center for Spine Surgery

机译：大量脊柱手术中心需要进行选择性的后路腰椎融合治疗，需要进行红细胞输血

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(1) Background: This study evaluated the perioperative red blood cell (RBC) transfusion need and determined predictors for transfusion in patients undergoing elective primary lumbar posterior spine fusion in a high-volume center for spine surgery. (2) Methods: Data from all patients undergoing spine surgery between 1 January 2014 and 31 December 2016 were reviewed. Patients’ demographics and comorbidities, perioperative laboratory results, and operative time were analyzed in relation to RBC transfusion. Multivariate logistic regression analysis was performed to identify the predictors of transfusion. (3) Results: A total of 874 elective surgeries for primary spine fusion were performed over the three years. Only 54 cases (6%) required RBC transfusion. Compared to the non-transfused patients, transfused patients were mainly female ( p = 0.0008), significantly older, with a higher ASA grade ( p = 0.0002), and with lower pre-surgery hemoglobin (HB) level and hematocrit ( p 0.0001). In the multivariate logistic regression, a lower pre-surgery HB (OR (95% CI) 2.84 (2.11–3.82)), a higher ASA class (1.77 (1.03–3.05)) and a longer operative time (1.02 (1.01–1.02)) were independently associated with RBC transfusion. (4) Conclusions: In the instance of elective surgery for primary posterior lumbar fusion in a high-volume center for spine surgery, the need for RBC transfusion is low. Factors anticipating transfusion should be taken into consideration in the patient’s pre-surgery preparation.
机译：（1）背景：本研究评估了在大容量脊柱外科手术中心接受择期原位腰椎后路脊柱融合术的患者的围手术期红细胞（RBC）输血需求并确定了输血的预测因子。 （2）方法：回顾性分析2014年1月1日至2016年12月31日期间接受脊柱手术的所有患者的数据。分析了患者的人口统计学和合并症，围手术期实验室检查结果以及手术时间与红细胞输血的关系。进行多因素logistic回归分析以识别输血的预测因素。 （3）结果：在过去的三年中，共进行了874例初次脊柱融合手术。仅54例（6％）需要RBC输血。与非输血患者相比，输血患者主要为女性（p = 0.0008），年龄较大，ASA评分较高（p = 0.0002），术前血红蛋白（HB）水平和血细胞比容较低（p <0.0001 ）。在多因素logistic回归分析中，术前HB较低（OR（95％CI）2.84（2.11-3.82）），ASA级别较高（1.77（1.03-3.05））和手术时间更长（1.02（1.01-1.02） ））与RBC输血独立相关。 （4）结论：在大容量脊柱外科中心进行原发性后路腰椎融合术的选择性手术中，对RBC输血的需求较低。在患者术前准备中应考虑预期输血的因素。

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