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Preoperative cephalhematoma size measured with computed tomography predicts intraoperative bleeding in pediatric patients undergoing cranioplasty

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dc.contributor.author김승현-
dc.contributor.author민경태-
dc.contributor.author박은경-
dc.contributor.author이형진-
dc.contributor.author최승호-
dc.date.accessioned2021-05-26T16:58:08Z-
dc.date.available2021-05-26T16:58:08Z-
dc.date.issued2021-04-
dc.identifier.issn1975-5171-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/182922-
dc.description.abstractBackground: Cranioplasty for the treatment of cephalhematomas in small infants with limited blood volume is challenging because of massive bleeding. This study aimed to elucidate the correlation between cephalhematoma size and intraoperative blood loss and identify criteria that can predict large intraoperative blood loss. Methods: We reviewed the medical records of 120 pediatric patients aged less than 24 months who underwent cranioplasty for treatment of a cephalhematoma. The cephalhematoma sizes in preoperative brain computed tomography (CT) were measured using ImageJ. Results: Pearson correlation showed that the cephalhematoma size in the pre-operative brain CT was weakly correlated with intraoperative blood loss (Pearson coefficient = 0.192, P = 0.037). In a multivariable logistic regression analysis, a cephalhematoma size greater than 113.5 cm3 was found to be a risk factor for large blood loss. The area under the curve in the receiver operating characteristic plot of the multivariable model was 0.714 (0.619-0.809). Conclusions: A cephalhematoma size cutoff value of 113.5 cm3, as measured in the preoperative CT imaging, can predict intraoperative blood loss exceeding 30% of the total body blood volume. The establishment of a transfusion strategy prior to surgery based on cephalhematoma size could be useful in pediatric cranioplasty.-
dc.description.statementOfResponsibilityopen-
dc.languageKorean-
dc.publisherKorean Society of Anesthesiologists-
dc.relation.isPartOfAnesthesia and Pain Medicine-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titlePreoperative cephalhematoma size measured with computed tomography predicts intraoperative bleeding in pediatric patients undergoing cranioplasty-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology and Pain Medicine (마취통증의학교실)-
dc.contributor.googleauthorSeung Hyun Kim-
dc.contributor.googleauthorKyeong Tae Min-
dc.contributor.googleauthorEun Kyung Park-
dc.contributor.googleauthorHyungjin Rhee-
dc.contributor.googleauthorHyukjin Yang-
dc.contributor.googleauthorSeung Ho Choi-
dc.identifier.doi10.17085/apm.20069-
dc.contributor.localIdA05098-
dc.contributor.localIdA01400-
dc.contributor.localIdA01607-
dc.contributor.localIdA05171-
dc.contributor.localIdA04101-
dc.relation.journalcodeJ00145-
dc.identifier.eissn2383-7977-
dc.identifier.pmid33866771-
dc.subject.keywordBirth injury-
dc.subject.keywordBlood component transfusion-
dc.subject.keywordHemorrhage-
dc.subject.keywordNeurosurgery-
dc.contributor.alternativeNameKim, Seung Hyun-
dc.contributor.affiliatedAuthor김승현-
dc.contributor.affiliatedAuthor민경태-
dc.contributor.affiliatedAuthor박은경-
dc.contributor.affiliatedAuthor이형진-
dc.contributor.affiliatedAuthor최승호-
dc.citation.volume16-
dc.citation.number2-
dc.citation.startPage151-
dc.citation.endPage157-
dc.identifier.bibliographicCitationAnesthesia and Pain Medicine, Vol.16(2) : 151-157, 2021-04-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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