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A Comparison of Autologous and Homologous Transfusions in Spinal Fusion

문성환|김학선|박시영|이환모|한수봉|박희완|박문수
연세대학교의과대학 (Yonsei University College of Medicine)|2006.12|Yonsei Medical Journal|제47권 제6호|pp. 840-846

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참고문헌

주제분류의학일반

초록

Abstract

Autologous transfusion has been used to overcome adverse effects of homologous transfusion. Clinical studies evaluating general orthopaedic postoperative results have been designed to compare these transfusion methods. However, few studies have evaluated postoperative results in spinal fusion surgeries, which have larger blood loss volumes. The purpose of this study is to determine if there are differences in postoperative infection and clinical results of spinal fusion with autologous, as compared to homologous, blood transfusion. A total of 62 patients who underwent instrumented spinal fusion and received autologous (n = 30) or homologous (n = 32) transfusions were reviewed. Information on gender, age, preoperative and 3-day postoperative hematologic features, total transfused units, segmental estimated blood loss, transfused units, and surgery time were collected. In addition, postoperative infection data on wound infection, pneumonia, urinary tract infection, cellulitis, and viral disease, incidence and duration of fever, as well as clinical results, fusion rates, and patient feedback were collected. No differences in postoperative infection and clinical results were found between the two types of transfusions; however, homologous transfusion was associated with an increased number of total units transfused, longer duration of fever, and decreased patient satisfaction regarding the transfusion.

참고문헌 (48)

  1. "Strategies for minimizing blood loss in orthopedic surgery", 41, pp.145~156 (2004)
  2. "Blood saving in pediatric orthopedics A study of 145 posterior vertebral arthrodesis", yan(at m utsos h), pp.303~11
  3. "An analysis of blood loss and autologous replacement during lumbar fusions", pp.358~62
  4. "Predicting blood loss in surgery for idiopathic scoliosis", pp.775~81
  5. "Allogeneic transfusion risks in the surgical patient", 170, pp.21~26 (1995)
  6. "Transfusion medicine. Second of two parts--blood conservation", 340, pp.525~533 (1999)
  7. "Transfusion and pre-deposit autotransfusion in orthopedic and traumatologic surgery", 44, pp.335~341 (1999)
  8. "Preoperative autologous blood donation by elderly patients undergoing orthopaedic surgery", 80, pp.95~100 (2001)
  9. "The Bridgeport Hospital experience with autologous transfusion in orthopedic surgery", 20, pp.677~680 (1997)
  10. "Transfusion strategy in programmed hemorrhagic orthopedic surgery", 25, pp.55~58 (1996)
  11. "Use of autologous blood in support of orthopaedic surgery using a hospital-based autologous donor programme", 5, pp.139~144 (1995)
  12. "Prior deposition of autologous blood in elective orthopaedic surgery", pp.320~4
  13. "Autotransfusion in long-segment spinal fusion An experimental model to demonstrate the efficacy of salvaging blood contaminated with bone fragments and marrow", pp.686~8
  14. "Efficacy and cost considerations of intraoperative autologous transfusion in spinal fusion for idiopathic scoliosis with predeposited blood", 21, pp.848~852 (1996)
  15. "Combined use of autologous transfusion techniques to avoid allogeneic transfusion in spinal fusion surgery with instrumentation", 58, pp.260~263 (2004)
  16. "The use of intraoperative autotransfusion as a second stage of autologous blood use in pediatric orthopaedic surgery", 14, pp.259~262 (1995)
  17. "Effect of autologous blood donation in patients undergoing elective spine surgery", pp.172~5
  18. "The use of autologous blood in the surgical treatment of spinal disorders", pp.1381~5
  19. "Hypotensive anesthesia and autotransfusion in spinal surgery", pp.27~33
  20. "Hemodilution as a method to reduce transfusion requirements in adolescent spine fusion surgery", 24, pp.219~224 (1999)
  21. "Early versus late replacement of autotransfused blood in elective spinal surgery", pp.1071~8
  22. "Efficacy of autotransfusion in spine surgery: comparison of autotransfusion alone and with hemodilution and apheresis", 21, pp.2795~2800 (1996)
  23. "Autologous blood transfusion does not reduce postoperative infection rates in elective surgery", 178, pp.549~555 (1999)
  24. "Blood transfusion and postoperative infection in orthopedic patients", pp.318~22
  25. "Infection or suspected infection after hip replacement surgery with autologous or homologous blood transfusions", pp.212~7
  26. "Practice Guidelines for blood component therapy: A report by the American Society of Anesthesiologists Task Force on Blood Component Therapy", 84, pp.732~747 (1996)
  27. "Blood transfusion and infectious complications following colorectal cancer surgery", pp.789~92
  28. "Relationship of postoperative septic complications and blood transfusions in patients with Crohn's disease", pp.43~8
  29. "Anterior interbody fusion versus posterolateral fusion with transpedicular fixation for isthmic spondylolisthesis in adults", 24, pp.812~817 (1999)
  30. "Interobserver and intraobserver agreement of radiograph interpretation with and without pedicle screw implants", 26, pp.538~544 (2001)
  31. "Analysis of Mayo Clinic series", pp.1195~204
  32. "The principles of the use of preventive antibiotics", pp.75~82
  33. "Infection of intervertebral discs after operation", pp.114~6
  34. "Prophylactic antibiotics and wound infections following laminectomy for lumber disc herniation", pp.727~31
  35. "Postoperative infections of spine", pp.1671~1686 (1999), WB Saunders Co
  36. "A clinical and immunologic study of blood transfusion and postoperative bacterial infection in spinal surgery", pp.517~24
  37. "Transfusion management in pediatric and adolescent scoliosis surgery", 22, pp.2735~2740 (1997)
  38. "Identification of immunosuppressive factors in plasma following multiple blood transfusions", pp.171~4
  39. "Comparative study of immunologic consequences of autotransfusion and homologous transfusion in lung cancer surgery", pp.251~9
  40. "Blood transfusion-induced suppression of cellular immunity in man"
  41. "Effect of blood transfusions on macrophage-lymphocyte interaction in an animal model", pp.681~5
  42. "Effect of blood transfusions on macrophage function in a burned animal model", pp.305~7
  43. "Effect of transfusion on immune function in a traumatized animal model", pp.50~5
  44. "Variable infection risk following allogeneic blood transfusions", pp.308~12
  45. "Relationship of transfusion and infection in a burn population", pp.948~52
  46. "Transfusion reaction", pp.2045~2053 (1995), Churchill Livingstone Inc.
  47. "Predictors of surgical outcome in degenerative lumbar spinal stenosis", 24, pp.2229~2233 (1999)
  48. "Factors influencing the outcome of degenerative lumbar spinal stenosis", 13, pp.131~137 (2000)

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