Safety and effectiveness of Perioperative Transfusion Trigger Score on perioperative allogeneic RBC transfusions in surgical patients
10.13303/j.cjbt.issn.1004-549x.2022.01.008
- VernacularTitle:输血指征评分指导手术患者输注红细胞的安全性和有效性研究
- Author:
Shucong LIANG
1
;
Zehan HUANG
2
;
Yanjuan HUANG
1
;
Fengting PAN
2
;
Yafeng WANG
3
;
Ailan HUANG
3
;
Ren LIAO
4
Author Information
1. Department of Anesthesiology, The Third Affiliated Hospital of Guangxi Medical University, Nanning 530031, China
2. Department of Anesthesiology, Affiliated Hospital of Youjiang Medical University for Nationalities
3. Department of Anesthesiology, People’s Hospital of Guangxi Zhuang Autonomous Regio
4. Department of Anesthesiology, West China Hospital, Sichuan University
- Publication Type:Journal Article
- Keywords:
perioperative blood management;
Perioperative Transfusion Trigger Score;
allogeneic red blood cells
- From:
Chinese Journal of Blood Transfusion
2022;35(1):29-32
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To evaluate the safety and effectiveness of Perioperative Transfusion Trigger Score (POTTS) in guiding surgical patients blood transfusion intraoperatively and postoperatively. 【Methods】 A total of 900 patients(perioperative Hb 60~100 g/L) from December 2017 to March 2021 were collected, including 251 males and 649 females, with ASA grading Ⅰ~Ⅳ, and randomly divided into experimental group and controls. In the experimental group, the allogeneic RBC transfusion trigger(Hb threshold) and transfusion units in anemia patients was determined by POTTS. While those in the controls were decided by physicians according to current guidelines concerning transfusion. The proportion and units of allogeneic RBC transfusion, the incidence of postoperative complications, the mortality of hospitalization and discharge for 4 weeks, Hb value, healing of surgical incision, ICU admission rate and ICU length of stay, length of hospitalization, etc were recorded. 【Results】 The proportion of allogeneic RBC transfusion in the experimental group(35.3%)were less than the controls(42.2%)(P<0.05). The units of allogeneic RBC transfused, incidence of postoperative complications and mortality in hospital and 4 weeks after surgery, healing of surgical incision (grade A/ grade B/ grade C), the Hb level 24 h after surgery and at discharge, the ICU admission rate and ICU length of stay, length of hospitalization were not significantly different between the groups. 【Conclusion】 The peri-operative allogeneic red blood cells transfusion guided by POTTS can reduce the proportion of allogeneic RBC transfusion, and is safe and effective.
