AI Article Synopsis
- The study examined how different postoperative haemostatic management strategies affect the need for reoperation after cardiac surgery in adults, highlighting that current practices vary by center and experience.
- Data from 2,098 adult patients who underwent elective cardiac surgery were analyzed, with 42 requiring reoperation within 72 hours, revealing a reoperation rate of 2%.
- Key findings indicated that preoperative fresh frozen plasma administration, chest tube drainage volume, and packed red blood cell transfusions were associated with an increased likelihood of reoperation, but no specific interventions clearly distinguished between those who did and did not need reoperation.
Article Abstract
Background: Postoperative cardio-surgical haemostatic management is centre-specific and experience-based, which leads to a variability in patient care. This study aimed to identify which postoperative haemostatic interventions may reduce the need for reoperation after cardiac surgery in adults.
Methods: A retrospective case-control study in a tertiary centre. Adult, elective, primary cardiac surgical patients were selected ( = 2098); cases ( = 42) were patients who underwent reoperation within 72 h after the initial surgery. Interventions administered to control surgical bleeding were compared for the need to re-operate using multiple logistic regression.
Results: Rate of cardiac surgical reoperation was 2% in the study population. Three variables were found to be associated with cardiac reoperation: preoperative administration of fresh frozen plasma (OR 5.45, CI 2.34-12.35), cumulative volume of chest tube drainage and cumulative count of packed red blood cells transfusion on ICU (OR 1.98, CI 1.56-2.51).
Conclusion: No significant difference among specific types of postoperative haemostatic interventions was found between patients who needed reoperation and those who did not. Perioperative transfusion of fresh frozen plasma, postoperative transfusion of packed cells and cumulative volume of chest tube drainage were associated with reoperation after cardiac surgery. These variables could help predict the need for reoperation.
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| http://dx.doi.org/10.1080/00015458.2020.1847463 | DOI Listing |
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