| Preoperative Blood Donation in
Coronary Artery Bypass Grafting |
| Etsuro Suenaga |
Hisao Suda |
Yuji Katayama |
| Manabu Sato |
|
|
(Department of Cardiovascular Surgery, Nagasaki
Kouseikai Hospital, Nagasaki, Japan)
|
Preoperative blood donation is well
known as one approach to reducing complications caused by homologous
blood transfusion. The purpose of this study is to evaluate whether
preoperative blood donation prior to coronary artery bypass grafting
(CABG) reduces homologous blood transfusion. The subjects were
selected from 151 consecutive patients who underwent CABG between
October 1996 and October 1998. Of the 151 patients, 76 made preoperative
blood donations (group A). Results in this group were compared
with those obtained in the control group consisting of the subjects
who received CABG without preoperative blood donation (group
B, n=75). Both groups were matched for age, sex, preoperative
hematocrit, cardiopulmonary bypass time, blood transfusion index
(BTI; body weight×preoperative hematocrit). There were no significant
differences between the two groups in terms of age and mean bypass
duration. Homologous blood requirements were significantly lower
in group A (78.9%) compared to group B (61.0%). BTI in group
A (2,224±447) however, was higher than that in group B (2,129±515).
In our study, preoperative blood donation was very effective
to reduce homologous blood transfusion in coronary artery bypass
grafting.
Jpn. J. Cardiovasc. Surg. 31: 97-99 (2002) |
|
