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A Comparison of Autologous and Homologous Transfusions in Spinal Fusion

Authors
 Moon-soo Park  ;  Seong-hwan Moon  ;  Hak-sun Kim  ;  Soo-bong Hahn  ;  Hui-wan Park  ;  Si-young Park  ;  Hwan-mo Lee 
Citation
 YONSEI MEDICAL JOURNAL, Vol.47(6) : 840-846, 2006 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2006
MeSH
Adult ; Aged ; Blood Transfusion* ; Blood Transfusion, Autologous ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications ; Spinal Fusion*
Keywords
Spinal fusion ; autologous transfusion
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.
Files in This Item:
T200601619.pdf Download
DOI
10.3349/ymj.2006.47.6.840
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hak Sun(김학선) ORCID logo https://orcid.org/0000-0002-8330-4688
Moon, Seong Hwan(문성환)
Park, Hui Wan(박희완)
Lee, Hwan Mo(이환모) ORCID logo https://orcid.org/0000-0002-5405-3832
Hahn, Soo Bong(한수봉)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110631
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