Lowering the hemoglobin threshold for transfusion in coronary artery bypass procedures: effect on patient outcome

Lowering the hemoglobin threshold for transfusion in coronary artery bypass procedures: effect on patient outcome
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DOI:
10.1046/j.1537-2995.1999.39101070.x
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发表时间:
1999-10-01
期刊:
影响因子:
2.9
通讯作者:
Cooley, DA
Cooley, DA
中科院分区:
医学3区
文献类型:
--
作者:
Bracey, AW;Radovancevic, R;Cooley, DA

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背景:关于该应用程序存在争议;心脏手术中输血触发的折叠。本研究的目的是确定冠状动脉搭桥手术后将红细胞 (RBC) 输注的血红蛋白阈值降低至 8 g/dL 是否会减少血液用量,而不会对患者的预后产生不利影响。 研究设计和方法:连续接受择期原发性冠状动脉搭桥手术的患者 (n = 428) 被随机分为两组:研究患者 (n = 212) 在术后期间接受红细胞输注,如果 Hb 水平是
BACKGROUND: There is controversy regarding the ap; plication of transfusion triggers in cardiac surgery. The goal of this study was to determine if lowering the hemoglobin threshold for red cell (RBC) transfusion to 8 g per dL after coronary artery bypass graft surgery would reduce blood use without adversely affecting patient outcome.STUDY DESIGN AND METHODS:Consecutive patients (n = 428) undergoing elective primary coronary artery bypass graft surgery were randomly assigned to two groups: study patients (n = 212) received RBC transfusions in the postoperative period if the Hb level was