https://orcid.org/0000-0003-2413-4401
![Sample our Medicine, Dentistry, Nursing & Allied Health journals, sign in here to start your FREE access for 14 days]({"type":"image" , "src" : "/sda/5944/TOC-Subject-Sample-2021-Medicine-Dentistry-Nursing-Allied-Health.jpg"})
Abstract
Background
Postoperative cardio-surgical haemostatic management is centre-specific and experience-based, which leads to a variability in patient care. This study aimed to identify which postoperative haemostatic interventions may reduce the need for reoperation after cardiac surgery in adults.
Methods
A retrospective case-control study in a tertiary centre. Adult, elective, primary cardiac surgical patients were selected (n = 2098); cases (n = 42) were patients who underwent reoperation within 72 h after the initial surgery. Interventions administered to control surgical bleeding were compared for the need to re-operate using multiple logistic regression.
Results
Rate of cardiac surgical reoperation was 2% in the study population. Three variables were found to be associated with cardiac reoperation: preoperative administration of fresh frozen plasma (OR 5.45, CI 2.34-12.35), cumulative volume of chest tube drainage and cumulative count of packed red blood cells transfusion on ICU (OR 1.98, CI 1.56-2.51).
Conclusion
No significant difference among specific types of postoperative haemostatic interventions was found between patients who needed reoperation and those who did not. Perioperative transfusion of fresh frozen plasma, postoperative transfusion of packed cells and cumulative volume of chest tube drainage were associated with reoperation after cardiac surgery. These variables could help predict the need for reoperation.
Disclosure statement
No potential conflict of interest was reported by the authors.
Author contributions
Dr. Vincent M. De La Porte and Dr. Gregory R.A. De Meyer both contributed equally as first authors. Dr. Schepens, Prof. I. Rodrigus and Prof. P. Jorens mentored the work by questioning, suggesting and correcting where needed. Dr. Schepens had a major input regarding the statistical analysis. Dr. W. Verbrugghe, Dr. P. Mertens, Dr. S. Laga and Mr. M. Allegaert were of invaluable aid for the data collection. Dr. T. Schepens, Dr. W. Verbrugghe, Dr. S. Laga, Prof. I. Rodrigus and Prof. P. Jorens were involved, among other colleagues, in the treatment of these patients.