Vol 55: Possible transfusion-related acute lung injury TRALI in cardiac surgery patients.Reportar como inadecuado



 Vol 55: Possible transfusion-related acute lung injury TRALI in cardiac surgery patients.


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This article is from Croatian Medical Journal, volume 55.AbstractAim: To determine the incidence of possible transfusion-related acute lung injury TRALI and related risk factors in cardiac surgery patients. Methods: A single-center prospective cohort study was conducted from January 2009 to March 2010 at the Zagreb University Hospital Center, Croatia. Patient-, transfusion-, and surgery-related data were collected. The study included 262 patients who were observed for respiratory worsening including measurements of arterial oxygen saturation SaO2, fraction of inspired oxygen FiO2, and partial pressure of arterial oxygen PaO2. Possible TRALI was defined according to the Toronto Consensus Conference definition broadened for 24-hour post-transfusion. This cohort was divided in two groups. TRALI group included 32 participants with diagnosis of TRALI and the control group included 220 patients with or without respiratory worsening, but with no signs of ALI. Results: Possible TRALI was observed in 32 12.2% patients. Compared with the control group, possible TRALI patients had higher American Association of Anesthesiology scores, higher rate of respiratory comorbidity 43.8% vs 15.5%, and required more red blood cells median 4, range 2.5-6 vs 2 1-3, plasma 5 0-6 vs 0 0-2, and platelet units 0 0-8 vs 0 0-0 P 



Autor: Zah-Bogovic, Tajana; Mesaric, Jasna; Hrabac, Pero; Majeric-Kogler, Visnja

Fuente: https://archive.org/







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