Severe Acute Blood Loss Anemia in Jehovah's Witnesses Undergoing Cardiac Surgery: Single Academic Center Experience
To determine the effect of severe acute blood loss anemia (ABLA) on postoperative outcomes in Jehovah's Witness (JW) patients undergoing cardiac surgery. This was a retrospective cohort study of adult JW patients undergoing cardiac surgery requiring cardiopulmonary bypass (CPB) between January...
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| Veröffentlicht in: | Journal of cardiothoracic and vascular anesthesia 2023-04, Vol.37 (4), p.513-518 |
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| container_title | Journal of cardiothoracic and vascular anesthesia |
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| creator | Helwani, Mohammad A. De Wet, Charl J. Pennington, Bethany Abdulnabi, Sami Moon, Marc R. |
| description | To determine the effect of severe acute blood loss anemia (ABLA) on postoperative outcomes in Jehovah's Witness (JW) patients undergoing cardiac surgery.
This was a retrospective cohort study of adult JW patients undergoing cardiac surgery requiring cardiopulmonary bypass (CPB) between January 1998 and December 2018 at Barnes-Jewish Hospital in St. Louis, Missouri.
At a single tertiary academic center.
Patients who were JWs undergoing cardiac surgery requiring CPB.
Patients were divided into the following 2 groups: JW patients who developed severe ABLA (defined as postoperative hematocrit level |
| doi_str_mv | 10.1053/j.jvca.2022.10.031 |
| format | Article |
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This was a retrospective cohort study of adult JW patients undergoing cardiac surgery requiring cardiopulmonary bypass (CPB) between January 1998 and December 2018 at Barnes-Jewish Hospital in St. Louis, Missouri.
At a single tertiary academic center.
Patients who were JWs undergoing cardiac surgery requiring CPB.
Patients were divided into the following 2 groups: JW patients who developed severe ABLA (defined as postoperative hematocrit level <21), and patients who did not develop severe ABLA.
A total of 48 JW patients who underwent cardiac surgery between 2008 and 2018 were identified. Of these patients, 9 (18.8%) developed postoperative severe ABLA, and 39 (81.3%) did not. Severe ABLA was associated with increased postoperative mortality at 30-days, 90-days, and 1-year postoperatively, and a trend toward increased hospital length of stay.
Severe ABLA after cardiac surgery was associated with higher mortality and a trend toward increased hospital length of stay among JW patients. More data are required to confirm the findings.</description><identifier>ISSN: 1053-0770</identifier><identifier>EISSN: 1532-8422</identifier><identifier>DOI: 10.1053/j.jvca.2022.10.031</identifier><identifier>PMID: 36435723</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Anemia ; Blood Transfusion ; cardiac surgery ; Cardiac Surgical Procedures - adverse effects ; Humans ; Jehovah's witness ; Jehovah's Witnesses ; postoperative complications ; Retrospective Studies ; severe acute blood loss anemia ; transfusion refusal</subject><ispartof>Journal of cardiothoracic and vascular anesthesia, 2023-04, Vol.37 (4), p.513-518</ispartof><rights>2022 Elsevier Inc.</rights><rights>Copyright © 2022 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c271t-e199f5cc227cf34822a8022655a9cf42d185e89ec02c3610b0691d65470657bb3</citedby><cites>FETCH-LOGICAL-c271t-e199f5cc227cf34822a8022655a9cf42d185e89ec02c3610b0691d65470657bb3</cites><orcidid>0000-0002-4473-6867 ; 0000-0003-0068-2884 ; 0000-0003-1571-6434 ; 0000-0003-0559-4541</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/j.jvca.2022.10.031$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36435723$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Helwani, Mohammad A.</creatorcontrib><creatorcontrib>De Wet, Charl J.</creatorcontrib><creatorcontrib>Pennington, Bethany</creatorcontrib><creatorcontrib>Abdulnabi, Sami</creatorcontrib><creatorcontrib>Moon, Marc R.</creatorcontrib><title>Severe Acute Blood Loss Anemia in Jehovah's Witnesses Undergoing Cardiac Surgery: Single Academic Center Experience</title><title>Journal of cardiothoracic and vascular anesthesia</title><addtitle>J Cardiothorac Vasc Anesth</addtitle><description>To determine the effect of severe acute blood loss anemia (ABLA) on postoperative outcomes in Jehovah's Witness (JW) patients undergoing cardiac surgery.
This was a retrospective cohort study of adult JW patients undergoing cardiac surgery requiring cardiopulmonary bypass (CPB) between January 1998 and December 2018 at Barnes-Jewish Hospital in St. Louis, Missouri.
At a single tertiary academic center.
Patients who were JWs undergoing cardiac surgery requiring CPB.
Patients were divided into the following 2 groups: JW patients who developed severe ABLA (defined as postoperative hematocrit level <21), and patients who did not develop severe ABLA.
A total of 48 JW patients who underwent cardiac surgery between 2008 and 2018 were identified. Of these patients, 9 (18.8%) developed postoperative severe ABLA, and 39 (81.3%) did not. Severe ABLA was associated with increased postoperative mortality at 30-days, 90-days, and 1-year postoperatively, and a trend toward increased hospital length of stay.
Severe ABLA after cardiac surgery was associated with higher mortality and a trend toward increased hospital length of stay among JW patients. More data are required to confirm the findings.</description><subject>Adult</subject><subject>Anemia</subject><subject>Blood Transfusion</subject><subject>cardiac surgery</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Humans</subject><subject>Jehovah's witness</subject><subject>Jehovah's Witnesses</subject><subject>postoperative complications</subject><subject>Retrospective Studies</subject><subject>severe acute blood loss anemia</subject><subject>transfusion refusal</subject><issn>1053-0770</issn><issn>1532-8422</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtPwzAQhC0Eorz-AAfkG1xS_IjjBHEpFU9V4lAQR8u1N8VVmhQ7qeDf49DCEe1hV6PZkeZD6JSSISWCXy6Gi7XRQ0YYi8KQcLqDDqjgLMlTxnbjHV0JkZIM0GEIC0IoFULuowHPUi4k4wcoTGENHvDIdC3gm6ppLJ40IeBRDUunsavxE7w3a_1-HvCba2sIAQJ-rS34eePqOR5rb502eNr5OfivKzyNatUnahsjDB5D3YLHt58r8A5qA8dor9RVgJPtPkKvd7cv44dk8nz_OB5NEsMkbROgRVEKYxiTpuRpzpjOY9VMCF2YMmWW5gLyAgxhhmeUzEhWUJuJVJJMyNmMH6GLTe7KNx8dhFYtXTBQVbqGpguKyZSIOLSIVraxGh_LeyjVyrul9l-KEtVjVAvVw1Y97F6LsOPT2Ta_my3B_r380o2G640BYsu1A6-C-SFgnQfTKtu4__K_Adisj08</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Helwani, Mohammad A.</creator><creator>De Wet, Charl J.</creator><creator>Pennington, Bethany</creator><creator>Abdulnabi, Sami</creator><creator>Moon, Marc R.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4473-6867</orcidid><orcidid>https://orcid.org/0000-0003-0068-2884</orcidid><orcidid>https://orcid.org/0000-0003-1571-6434</orcidid><orcidid>https://orcid.org/0000-0003-0559-4541</orcidid></search><sort><creationdate>202304</creationdate><title>Severe Acute Blood Loss Anemia in Jehovah's Witnesses Undergoing Cardiac Surgery: Single Academic Center Experience</title><author>Helwani, Mohammad A. ; De Wet, Charl J. ; Pennington, Bethany ; Abdulnabi, Sami ; Moon, Marc R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c271t-e199f5cc227cf34822a8022655a9cf42d185e89ec02c3610b0691d65470657bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Anemia</topic><topic>Blood Transfusion</topic><topic>cardiac surgery</topic><topic>Cardiac Surgical Procedures - adverse effects</topic><topic>Humans</topic><topic>Jehovah's witness</topic><topic>Jehovah's Witnesses</topic><topic>postoperative complications</topic><topic>Retrospective Studies</topic><topic>severe acute blood loss anemia</topic><topic>transfusion refusal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Helwani, Mohammad A.</creatorcontrib><creatorcontrib>De Wet, Charl J.</creatorcontrib><creatorcontrib>Pennington, Bethany</creatorcontrib><creatorcontrib>Abdulnabi, Sami</creatorcontrib><creatorcontrib>Moon, Marc R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiothoracic and vascular anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Helwani, Mohammad A.</au><au>De Wet, Charl J.</au><au>Pennington, Bethany</au><au>Abdulnabi, Sami</au><au>Moon, Marc R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severe Acute Blood Loss Anemia in Jehovah's Witnesses Undergoing Cardiac Surgery: Single Academic Center Experience</atitle><jtitle>Journal of cardiothoracic and vascular anesthesia</jtitle><addtitle>J Cardiothorac Vasc Anesth</addtitle><date>2023-04</date><risdate>2023</risdate><volume>37</volume><issue>4</issue><spage>513</spage><epage>518</epage><pages>513-518</pages><issn>1053-0770</issn><eissn>1532-8422</eissn><abstract>To determine the effect of severe acute blood loss anemia (ABLA) on postoperative outcomes in Jehovah's Witness (JW) patients undergoing cardiac surgery.
This was a retrospective cohort study of adult JW patients undergoing cardiac surgery requiring cardiopulmonary bypass (CPB) between January 1998 and December 2018 at Barnes-Jewish Hospital in St. Louis, Missouri.
At a single tertiary academic center.
Patients who were JWs undergoing cardiac surgery requiring CPB.
Patients were divided into the following 2 groups: JW patients who developed severe ABLA (defined as postoperative hematocrit level <21), and patients who did not develop severe ABLA.
A total of 48 JW patients who underwent cardiac surgery between 2008 and 2018 were identified. Of these patients, 9 (18.8%) developed postoperative severe ABLA, and 39 (81.3%) did not. Severe ABLA was associated with increased postoperative mortality at 30-days, 90-days, and 1-year postoperatively, and a trend toward increased hospital length of stay.
Severe ABLA after cardiac surgery was associated with higher mortality and a trend toward increased hospital length of stay among JW patients. More data are required to confirm the findings.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36435723</pmid><doi>10.1053/j.jvca.2022.10.031</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-4473-6867</orcidid><orcidid>https://orcid.org/0000-0003-0068-2884</orcidid><orcidid>https://orcid.org/0000-0003-1571-6434</orcidid><orcidid>https://orcid.org/0000-0003-0559-4541</orcidid></addata></record> |
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| identifier | ISSN: 1053-0770 |
| ispartof | Journal of cardiothoracic and vascular anesthesia, 2023-04, Vol.37 (4), p.513-518 |
| issn | 1053-0770 1532-8422 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Adult Anemia Blood Transfusion cardiac surgery Cardiac Surgical Procedures - adverse effects Humans Jehovah's witness Jehovah's Witnesses postoperative complications Retrospective Studies severe acute blood loss anemia transfusion refusal |
| title | Severe Acute Blood Loss Anemia in Jehovah's Witnesses Undergoing Cardiac Surgery: Single Academic Center Experience |
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