The relationship between preoperative hemoglobin concentration and use of hospital resources in cardiac surgery

VernacularTitle:术前血红蛋白浓度与心脏外科手术后医疗资源使用之间的关系
Author: Jingli CHEN ; Hong YAN
Keywords: hemoglobin concentration; ICU stay; total length of hospital stay
From: Journal of Clinical Surgery 2017;25(7):544-546
CountryChina
Language:Chinese
Abstract: Objective To explore the relationship of preoperative hemoglobin concentration and use of hospital resources.Methods 108 patients receiving cardiac surgery in the central hospital of wuhan were included.The relationship of preoperative hemoglobin concentration was explored on blood transfusion rates,return to the operating room for bleeding and/or cardiac tamponade,postoperative intensive care unit(ICU)and in-hospital length of stay,and mortality.Results For every 10-unit increase in hemoglobin(g/L),blood transfusion requirements were reduced by 8.0%,6.0%,and 3.0% for red blood cell units,platelet pools,and fresh frozen plasma units,respectively.For each 10-unit decrease in hemoglobin(g/L),the probability(over time)of discharge from the ICU and hospital increased 7.0%,16.0% respectively.Conclusion A lower preoperative hemoglobin concentration resulted in increased use of hospital resources after cardiac surgery.Therefore,the correction of decreasing preoperative hemoglobin concentration could improve the use of hospital resources after cardiac surgery.