Scholarlink

Objective <p>To evaluate perioperative blood transfusion requirements, transfusion-related risk factors, and blood utilization efficiency in thoracic surgery, and to establish procedure-specific recommendations for the Maximum Surgical Blood Ordering Schedule (MSBOS).</p> Materials and Methods <p>A retrospective analysis was conducted on 2,062 patients who underwent thoracic surgery at a single center between January 2022 and June 2024. Demographic characteristics, comorbidities, surgical techniques, perioperative transfusion requirements, and clinical outcomes were analyzed. Transfusion efficiency was assessed using the Transfusion Index (TI), Transfusion Percentage (%T), and Crossmatch-to-Transfusion Ratio (C/T). MSBOS recommendations were derived based on these metrics.</p> Results <p>Perioperative transfusion was required in 15.1% of patients, while 8.0% received intraoperative transfusions. Transfusion need was significantly associated with advanced age, lower preoperative hemoglobin levels, longer anesthesia duration, thoracotomy, decortication, and pneumonectomy. Patients who received intraoperative transfusions had significantly higher complication and mortality rates. Overall transfusion efficiency was low (TI: 0.27; %T: 15%), indicating substantial over-preparation of blood products.</p> Conclusion <p>Routine preoperative blood preparation is unnecessary for many thoracic surgery procedures. A procedure-specific MSBOS or a “type-and-screen” strategy appears sufficient for most interventions, except for decortication and pneumonectomy. Tailored patient blood management strategies, including procedure-specific MSBOS implementation, may substantially improve resource utilization and patient outcomes.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Perioperative transfusion rates and efficiency in thoracic surgery: toward rational transfusion strategies

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年6月2日

查看全文
  • Selim Şakir Erkmen Gülhan,
  • Ali İhsan Yaylacı,
  • Leyla Nesrin Acar,
  • Seray Hazer,
  • İlteriş Türk,
  • Ali Alagöz,
  • Funda İncekara,
  • Ömer Faruk Demir,
  • Pınar Bıçakçıoğlu

摘要

Objective

To evaluate perioperative blood transfusion requirements, transfusion-related risk factors, and blood utilization efficiency in thoracic surgery, and to establish procedure-specific recommendations for the Maximum Surgical Blood Ordering Schedule (MSBOS).

Materials and Methods

A retrospective analysis was conducted on 2,062 patients who underwent thoracic surgery at a single center between January 2022 and June 2024. Demographic characteristics, comorbidities, surgical techniques, perioperative transfusion requirements, and clinical outcomes were analyzed. Transfusion efficiency was assessed using the Transfusion Index (TI), Transfusion Percentage (%T), and Crossmatch-to-Transfusion Ratio (C/T). MSBOS recommendations were derived based on these metrics.

Results

Perioperative transfusion was required in 15.1% of patients, while 8.0% received intraoperative transfusions. Transfusion need was significantly associated with advanced age, lower preoperative hemoglobin levels, longer anesthesia duration, thoracotomy, decortication, and pneumonectomy. Patients who received intraoperative transfusions had significantly higher complication and mortality rates. Overall transfusion efficiency was low (TI: 0.27; %T: 15%), indicating substantial over-preparation of blood products.

Conclusion

Routine preoperative blood preparation is unnecessary for many thoracic surgery procedures. A procedure-specific MSBOS or a “type-and-screen” strategy appears sufficient for most interventions, except for decortication and pneumonectomy. Tailored patient blood management strategies, including procedure-specific MSBOS implementation, may substantially improve resource utilization and patient outcomes.