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

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Affiliated Author(s)
나찬영
Alternative Author(s)
Na, Chan Young
Journal Title
Journal of Cardiothoracic and Vascular Anesthesia
ISSN
1053-0770
Issued Date
2016
Keyword
BloodtransfusionPerioperativecareCardiac surgeryCardiopulmonarybypassAdult
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.
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Publisher
School of Medicine
Citation
Tae Sik Kim et al. (2016). Transfusion Risk and Clinical Knowledge (TRACK) Score and Cardiac Surgery in Patients Refusing Transfusion. Journal of Cardiothoracic and Vascular Anesthesia, 30(2), 373–378. doi: 10.1053/j.jvca.2015.11.004
Type
Article
ISSN
1053-0770
DOI
10.1053/j.jvca.2015.11.004
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33319
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
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