Transfusion Risk and Clinical Knowledge (TRACK) Score and Cardiac Surgery in Patients Refusing Transfusion

Authors
Tae Sik KimJong Hyun LeeHyonggin AnChan-Young Na
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Issue Date
2016
Citation
Journal of Cardiothoracic and Vascular Anesthesia, Vol.30(2) : 373-378, 2016
ISSN
1053-0770
Abstract
Objective: The TransfusionRiskandClinicalKnowledge (TRACK) scoreisasimpletooltopredictthechanceof undergoingbloodtransfusionincardiacsurgery.The authors evaluatedtherelationshipbetweentheTRACK score andclinicaloutcomesofcardiacsurgeryinpatients who refusedbloodtransfusion. Design: An observationalstudy. Setting: A singlehospital. Participants: Seventy-sixadultJehovah’s Witnessesrefus- ingbloodtransfusionwhounderwentcardiacsurgeries. Interventions: Patientsweredividedinto2groups accordingtotheirTRACKscore:low-riskgroup(n ¼ 57, TRACK scoreoflessthan13)andhigh-riskgroup(n ¼ 19, TRACKscoreof13ormore).Perioperativeandlong- term clinicaloutcomeswerecomparedbetweenthe2 groups. MeasurementsandMainResults: The operativemortality was 0%inthelow-riskgroup,and21.1%(n ¼ 4) inthehigh- risk group(p ¼ 0.003). Theincidenceofmajorpostoperative complicationswashigherinthehigh-riskgroup(57.9%)thanin the low-riskgroup(17.5%)(p ¼ 0.002).Thehigh-riskgrouphad more postoperativebleeding-relatedcomplications(21.1%) than didthelow-riskgroup(1.8%)(p ¼ 0.013). Therewere no significant differencesofpredictive performanceinmortal- ity andmorbiditybetweentheTRACKscoreandEuroSCOREII. Conclusion: In cardiacsurgerypatientsrefusingtransfu- sions, theTRACKscorepredictedpostoperativemorbidity and mortalityofcardiacsurgery.
Keywords
BloodtransfusionPerioperativecareCardiac surgeryCardiopulmonarybypassAdult
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/33319
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Keimyung Author(s)
나찬영
Full Text
https://www.sciencedirect.com/science/article/pii/S1053077015009349?via%3Dihub
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