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The primary objective of this study is to analyze mortality after cardiac surgery in blood-transfusion non-acceptors (BTNA), and the secondary one to perform an adjusted comparison with a blood-transfusion acceptors (BTA) matched cohort.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Blood-transfusion non-acceptors | Blood-transfusion non-acceptors |
| |
| Blood-transfusion acceptors | Blood-transfusion acceptors |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Non-acceptance of blood-transfusions | Other | Patients who do not accept blood products transfusions |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change on Hemoglobin values from preoperative to end-of-surgery levels | Changes on Hemoglobin values in percentage from preoperative level to the end of the surgery level | End-of-surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of operative mortality | Any death occurring i) within the first 30 postoperative days in or out of the hospital, and ii) after 30 days during the same hospitalization subsequent to the operation. | At discharge or within the first 30 postoperative days |
| Intraoperative fluid balance |
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Inclusion Criteria:
Exclusion Criteria:
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Patients undergoing heart surgery in our hospital from 2009 to June 2020. Patients were categorized in blood-transfusion non-acceptors (exposed cohort) and blood-transfusion acceptors (control cohort)
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Elena Roselló-Díez, MD, PhD | Contact | +34 935565957 | erosello@santpau.cat |
| Name | Affiliation | Role |
|---|---|---|
| Elena Roselló-Díez, MD, PhD | Cardiac surgeon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fundació de Gestió Sanitària de l'Hospital de la Santa Creu i Sant Pau | Recruiting | Barcelona | 08025 | Spain |
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| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
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| Acceptance of blood-transfusions | Other | Patients who accept blood products transfusions |
|
Resting the fluid outputs to inputs |
| End of surgery |
| Hemoglobin at discharge | Hemoglobin level at discharge | At discharge, an average of 10 days |
| Rate of postoperative morbidity | Postoperative complications: hemodynamic, respiratory, renal, neurological, infective complications | At discharge, an average of 10 days |