Association between preoperative hemoglobin levels after iron supplementation and perioperative blood transfusion requirements in children undergoing scoliosis surgery

Background and Aims In this study, we assessed the association between preoperative hemoglobin and red blood cell transfusion in children undergoing spine surgery after the implementation of our preoperative iron supplementation protocol. Method We performed a retrospective analysis of patients who...

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Bibliographic Details
Published in:Pediatric anesthesia 2020-10, Vol.30 (10), p.1077-1082
Main Authors: Switzer, Timothy, Naraine, Nadia, Chamlati, Racha, Lau, Wendy, McVey, Mark J., Zaarour, Christian, Faraoni, David, Goobie, Susan
Format: Article
Language:English
Subjects:
anemia
Blood
blood transfusion
Erythrocytes
Hemoglobin
iron
pediatric anesthesia
Scoliosis
Surgery
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Summary:Background and Aims In this study, we assessed the association between preoperative hemoglobin and red blood cell transfusion in children undergoing spine surgery after the implementation of our preoperative iron supplementation protocol. Method We performed a retrospective analysis of patients who underwent posterior spinal fusion surgery between January 2013 and December 2017 and received preoperative iron supplementation. We used uni‐ and multivariable logistic regression to determine the association between preoperative hemoglobin level and red blood cell transfusion in patients receiving iron supplementation. Results A total of 382 patients treated with preoperative oral iron were included. Of these, 175 (45.5%) patients were transfused intraoperatively. Multivariable logistic regression analysis revealed nonidiopathic etiology of the scoliosis (OR 4.178 [95% CI: 2.277‐7.668], P 
ISSN:1155-5645
1460-9592
DOI:10.1111/pan.13987