Most Read Articles
26 Nov 2019
Hypertension is associated with a high cardiovascular disease burden but does not appear to have any impact on symptoms or functional capacity during exercise treadmill test (ETT) in patients with aortic stenosis, results of a study have shown.
28 Nov 2019
Slideshow: Highlights from the American Heart Association (AHA) Scientific Sessions 2019
Elaine Soliven, 27 Nov 2019
High levels of trunk fat mass (FM) may be associated with an increased risk of cardiovascular disease (CVD)-related events such as coronary death, nonfatal myocardial infarction, or coronary heart disease in postmenopausal women with normal body mass index (BMI), according to a recent study presented at AHA 2019.
28 Oct 2019
The C-reactive protein (CRP)-to-albumin ratio (CAR) appears to be linked to the development of acute kidney injury in patients with ST elevation myocardial infarction (STEMI), a recent study has found.

Blood transfusion tied to higher complication risk after autologous breast reconstruction

11 Oct 2019

Blood transfusion occurs with a striking frequency among autologous breast reconstruction patients and is associated with an increased risk of surgery-related complications, a recent study has found.

The study included 55,840 patients (mean age, 52±10 years) who had undergone autologous breast reconstruction surgery from 2012 to 2014 in the United States. The primary study outcomes were the overall rate of blood transfusion and the associated risk factors and outcomes.

Seven percent of all participants required blood transfusion. This rate was lowest in those who underwent latissimus dorsi myocutaneous flap procedures (3.3 percent) and highest in the free gluteal artery perforator flap patients (22 percent).

Patients who underwent blood transfusion also suffered from complications much more frequently (29.55 percent vs 8.48 percent; p<0.01) and stayed in the hospital for a significantly longer duration (6.6 vs 3.6 days; p<0.01). Death was also more common in these patients (0.51 percent vs 0.02 percent; p<0.01).

All other complications, such as urinary tract infection, acute respiratory failure, wound infections and dehiscence, flap failure, myocardial infarction, stroke, and pneumonia, among others, occurred significantly more frequently in those who required blood transfusions. The only exceptions were fat necrosis (p=0.89) and seroma (p=0.17).

Multivariate regression analysis found that chronic anaemia, congestive heart failure, free flap, chronic kidney disease, hypertension, chronic lung disease, diabetes mellitus and obesity were significant risk factors for the need for blood transfusion.

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Most Read Articles
26 Nov 2019
Hypertension is associated with a high cardiovascular disease burden but does not appear to have any impact on symptoms or functional capacity during exercise treadmill test (ETT) in patients with aortic stenosis, results of a study have shown.
28 Nov 2019
Slideshow: Highlights from the American Heart Association (AHA) Scientific Sessions 2019
Elaine Soliven, 27 Nov 2019
High levels of trunk fat mass (FM) may be associated with an increased risk of cardiovascular disease (CVD)-related events such as coronary death, nonfatal myocardial infarction, or coronary heart disease in postmenopausal women with normal body mass index (BMI), according to a recent study presented at AHA 2019.
28 Oct 2019
The C-reactive protein (CRP)-to-albumin ratio (CAR) appears to be linked to the development of acute kidney injury in patients with ST elevation myocardial infarction (STEMI), a recent study has found.