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• W2898071103 abstract "Study Design: Retrospective analysis. Objective: The objective of this study was to investigate the effects of intraoperative balanced 6% hydroxyethyl starch (HES) 130/0.4 on postoperative blood loss and the coagulation profile. Summary of Background Data: The safety of colloid versus crystalloid transfusion for bleeding and coagulation during major spine surgery remains controversial and only a few studies exist. Thus, we compared the effects of balanced 6% HES 130/0.4 and crystalloid on postoperative bleeding and coagulation. Methods: Patients undergoing spine surgery between February 1, 2015 and February 28, 2017 were divided into 2 groups: patients receiving intraoperative balanced 6% HES 130/0.4 and patients receiving crystalloid. We compared the postoperative bleeding volume with changes in the coagulation profile and length of hospital stay between these 2 groups. Propensity score (PS)-matching and multivariate stepwise linear regression were performed. Results: A total of 169 patients who met the inclusion criteria were analyzed. The quantity of total colloid per patient was 10–15 mL/kg. A significant difference was observed in the total intraoperative transfused crystalloid volume between the 2 groups (colloid group, 1.394.6±1.414.0 mL; crystalloid group, 2.027.3±1.114.1 mL; P <0.001). Postoperative blood loss and coagulation profile changes were not significantly different in the 60 PS-matched paired patients. Furthermore, no differences in either postoperative transfusion requirement or length of hospital stay were observed between the groups. Multivariate stepwise linear regression revealed that operation time (β=0.549; P <0.001) and intraoperative transfusion of packed red blood cells (β=0.466; P =0.003) or fresh frozen plasma (β=−0.263; P =0.041) were independently associated with postoperative blood loss. However, intraoperative colloid administration was not a predictive factor. Conclusions: Intraoperative infusion of balanced 6% HES 130/0.4 in patients undergoing spine surgery presented clinically insignificant changes in postoperative blood loss and coagulation compared to crystalloid. Level of Evidence: Level III." @default.
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• W2898071103 date "2019-03-01" @default.
• W2898071103 modified "2023-09-27" @default.
• W2898071103 title "Postoperative Blood Loss and Coagulation Changes After Balanced 6% Hydroxyethyl Starch 130/0.4 Administration During Spine Surgery" @default.
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• W2898071103 doi "https://doi.org/10.1097/bsd.0000000000000727" @default.
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