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• W2011939347 abstract "<h3>Hypothesis</h3> Intraoperative cell salvage (CS) of shed blood during emergency surgical procedures provides an effective and cost-efficient resuscitation alternative to allogeneic blood transfusion, which is associated with increased morbidity and mortality in trauma patients. <h3>Design</h3> Retrospective matched cohort study. <h3>Setting</h3> Level I trauma center. <h3>Patients</h3> All adult trauma patients who underwent an emergency operation and received CS as part of their intraoperative resuscitation. The CS group was matched to a no-CS group for age, sex, Injury Severity Score, mechanism of injury, and operation performed. <h3>Main Outcome Measures</h3> Amount and cost of allogeneic transfusion of packed red blood cells and plasma. <h3>Results</h3> The 47 patients in the CS group were similar to the 47 in the no-CS group for all matched variables. Patients in the CS group received an average of 819 mL of autologous CS blood. The CS group received fewer intraoperative (2 vs 4 U;<i>P</i> = .002) and total (4 vs 8 U;<i>P</i> < .001) units of allogeneic packed red blood cells. The CS group also received fewer total units of plasma (3 vs 5 U;<i>P</i> = .03). The cost of blood product transfusion (including the total cost of CS) was less in the CS group ($1616 vs $2584 per patient;<i>P</i> = .004). <h3>Conclusion</h3> Intraoperative CS provides an effective and cost-efficient resuscitation strategy as an alternative to allogeneic blood transfusion in trauma patients undergoing emergency operative procedures." @default.
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• W2011939347 date "2010-07-01" @default.
• W2011939347 modified "2023-09-26" @default.
• W2011939347 title "Autologous Blood Transfusion During Emergency Trauma Operations" @default.
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• W2011939347 doi "https://doi.org/10.1001/archsurg.2010.113" @default.
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