지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 101 - 110 (10page)
이용수
초록· 키워드
오류제보하기
Background: We compared the clinical outcomes of cardiac valve surgery in adult Jehovah’s Witness patients refusing blood transfusion to those in non-Jehovah’s Witness patients without any transfusion limitations.
Methods: From 2005 to 2014, 25 Jehovah’s Witnesses (JW group) underwent cardiac valve surgery using a blood conservation strategy.
Twenty-five matched control patients (non-JW group) were selected according to sex, age, operation date, and surgeon. Both groups were managed according to general guidelines of anticoagulation for valve surgery.
Results: The operative mortality rate was 4.0% in the JW group and 0% in the non-JW group (p = 1.000). There was no difference in postoperative major complications between the groups (p = 1.000). The overall survival rate at 5 and 10 years was 85.6% ± 7.9% and 85.6% ± 7.9% in the JW group, respectively, and 100.0% ± 0.0% and 66.7% ± 27.2% in the non-JW group (p = 0.313). The valve-related morbidity-free survival rates (p = 0.625) and late morbidity-free survival rates (p = 0.885) were not significantly different between the groups.
Conclusions: Using a perioperative strategy for blood conservation, cardiac valve surgery without transfusion had comparable clinical outcomes in adult patients. This blood conservation strategy could be broadly applied to major surgeries with careful perioperative care.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Goodnough LT / 2003 / Bloodless medicine: clinical care without allogeneic blood transfusion / Transfusion 43:668~676
Jo KI / 2013 / Eight-year experience of bloodless surgery at a tertiary care hospital in Korea / Transfusion 53:948~954
Rosengart TK / 1997 / Open heart operations without transfusion using a multimodality blood conservation strategy in 50 Jehovah’s Witness patients: implications for a “bloodless” surgical technique / J Am Coll Surg 184:618~629
Helm RE / 1998 / Comprehensive multimodality blood conservation: 100 consecutive CABG operations without transfusion / Ann Thorac Surg 65:125~136
Spahn DR / 2000 / Eliminating blood transfusions:new aspects and perspectives / Anesthesiology 93:242~255
Jo KI / 2013 / Eight-year experience of bloodless surgery at a tertiary care hospital in Korea / Transfusion 53:948~954
Rosengart TK / 1997 / Open heart operations without transfusion using a multimodality blood conservation strategy in 50 Jehovah’s Witness patients: implications for a “bloodless” surgical technique / J Am Coll Surg 184:618~629
Helm RE / 1998 / Comprehensive multimodality blood conservation: 100 consecutive CABG operations without transfusion / Ann Thorac Surg 65:125~136
Spahn DR / 2000 / Eliminating blood transfusions:new aspects and perspectives / Anesthesiology 93:242~255
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