Cardiac Surgery
Conditions
Brief summary
This is a retrospective observational study of the transfusion threshold in cardiac surgery. There is controversy in the literature regarding the transfusion threshold to be adopted, especially in a patient who has undergone cardiac surgery. Some authors suggest that the transfusion should be done in a restrictive way when a certain threshold in hemoglobin is reached, in order to avoid the risks it implies, especially infectious.This threshold is very controversial and remains to be defined (variations in the literature from 7g / dL to 9g / dL). Other authors conclude that there is no superiority of a restrictive transfusion compared to a more liberal transfusion, with regard to the morbidity or medical costs. It is therefore interesting to study, in a retrospective manner, the global and multidisciplinary management of patients who have undergone a cardiac surgery within the CHU Brugmann hospital, to analyze if they have been adequately transfused.
Interventions
PROCEDURECardiac surgery
Cardiac surgery
Sponsors
Pierre Wauthy
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
\- Patients having undergone cardiac surgery (other than the placement of a pacemaker or defibrillator) within the CHU Brugmann hospital between 2006 and 2015
Exclusion criteria
* N/A
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hemoglobin rate | Baseline (just before cardiac surgery) | Hemoglobin rate |
| Hematocrit rate | Baseline (just before cardiac surgery) | Hematocrit rate |
| International Normalized Ratio (INR) | Baseline (just before cardiac surgery) | Coagulation indicator |
| Creatinin rate | Baseline (just before cardiac surgery) | Renal function indicator |
| Total amount of blood perfusions | Five days after surgery (J5) | Total amount of blood perfusions |
| Liquid balance | One day after surgery | Ratio between total fluid intake (perfusion) and loss (blood and urine) |
Countries
Belgium
Outcome results
None listed