American Society of Anesthesiologists Score as a Predictive Tool to Optimize Blood Ordering for Intraoperative Transfusion in Orthopaedic Trauma Cases. J Surg Orthop Adv 2016;25(2):105-9
Date
08/16/2016Pubmed ID
27518295Scopus ID
2-s2.0-85020319474 (requires institutional sign-in at Scopus site) 6 CitationsAbstract
The objective of this study was to determine the clinical factors that are predictors for intraoperative transfusion in orthopaedic trauma patients. A retrospective chart review of patients admitted to a level I trauma center with isolated fractures was conducted. Variables such as gender, height, weight, body mass index, American Society of Anesthesiologists (ASA) classification, and medical comorbidities were assessed to determine likelihood of blood transfusion. A total of 1819 patients with isolated fractures were identified. ASA class was strongly associated with patients receiving intraoperative blood transfusion. For example, compared with patients with an ASA class I, patients with an ASA class IV were 14.71 times more likely to receive transfusion. Patients' ASA class is correlated with the need for intraoperative blood transfusion in patients undergoing orthopaedic surgery for isolated fractures. Institutional or departmental maximum surgical blood order schedule algorithms could use patients' preoperative ASA class to determine whether blood transfusion will be necessary during procedures.
Author List
Sathiyakumar V, Estevez-Ordonez D, Thakore RV, Lee YM, Ehrenfeld JM, Obremskey WT, Sethi MKAuthor
Jesse Ehrenfeld MD, MPH Sr Associate Dean, Director, Professor in the Advancing a Healthier Wisconsin Endowment department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Aged, 80 and over
Anesthesiology
Blood Loss, Surgical
Blood Transfusion
Child
Comorbidity
Female
Fractures, Bone
Humans
Intraoperative Complications
Likelihood Functions
Male
Middle Aged
Retrospective Studies
Risk Assessment
Societies, Medical
Trauma Centers
Young Adult