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Research ArticleArticles

Pre-Operative Autologous Blood Donation Does Not Affect Pre-Incision Hematocrit in Adolescent Idiopathic Scoliosis Patients. A Retrospective Cohort of a Prospective Randomized Trial

Anthony J. Boniello, Kushagra Verma, Austin Peters, Baron S. Lonner and Thomas Errico
International Journal of Spine Surgery January 2016, 10 27; DOI: https://doi.org/10.14444/3027
Anthony J. Boniello
1Division of Spinal Surgery, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY
2Department of Orthopaedic Surgery, Drexel College of Medicine, Hahnemann University Hospital, Philadelphia, PA
MD
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Kushagra Verma
1Division of Spinal Surgery, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY
3Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, CA
MS, MD
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Austin Peters
1Division of Spinal Surgery, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY
MD
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Baron S. Lonner
4Department of Orthopaedic Surgery, Mount Sinai Beth Israel, New York, New York
MD
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Thomas Errico
1Division of Spinal Surgery, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY
MD
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    Figure 1

    Pre-operative coronal (left) and sagittal (right) radiographs of a 17 year old male with adolescent idiopathic scoliosis. Main Thoracic curve= 71 degrees (bending= 54); TL/L= 91 degrees (bending= 73).

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    Figure 2

    Post-operative coronal (left) and sagittal (right) radiographs of a 17 year old male with adolescent idiopathic scoliosis who underwent posterior spinal fusion (T3-L3). Estimated blood loss was 4500cc and 3 units of allogenic packed red blood cells were transfused.

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    Table 1

    Demographic information. (PD = Pre-donate of autologous blood, Non-PD = No pre-donation of autologous blood).

    GroupNMean AgeBMIGender (%female)
    PD2815.6 ± 2.223.1 ± 4.275
    NON-PD9714.8 ± 2.221.7 ± 5.378
    p-0.0810.219-
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    Table 2

    Hematocrit (Hct) measured at pre-incision, post-operative day (POD) 1, POD2, and change from pre-incision to POD2. (PD = Pre-donate of autologous blood, Non-PD = No pre-donation of autologous blood).

    GroupPre-Incision HctPOD1
    Hct
    POD2
    Hct
    Change in Hct (Incision to POD2)
    PD32.8 ± 3.429.3 ± 4.728.2 ± 4.4-3.6 ± 3.6
    NON-PD33.8 ± 3.128.5 ± 3.427.3 ± 3.6-5.3 ± 5.9
    p0.1670.3330.3090.154
    • View popup
    Table 3

    Surgical Parameters. Bolded p-value denotes statistical significance. (PD = Pre-donate of autologous blood, Non-PD = No pre-donation of autologous blood, LOH = Length of hospitalization).

    GroupTransfusion Rate (%)Allogenic Blood Transfusion Rate (%)LOH (days)
    PD32.1 ± 48.03.6 ± 18.95.2 ± 0.8
    NON-PD25.8 ± 44.025.8 ± 44.05.5 ± 1.1
    p0.5090.0110.225
    • View popup
    Table 4

    Estimated Blood Loss. Bolded p-value denotes statistical significance. (PD = Pre-donate of autologous blood, Non-PD = No pre-donation of autologous blood, EBL = Estimated Blood Loss, EBV = Estimated Blood Volume).

    GroupEBL (mL)EBV (mL)EBL/Levels fusedEBL/EBV
    PD734 ± 7344444 ± 114277.8 ± 62.10.17 ± 0.13
    Non-PD938 ± 7423881 ± 1060102.5 ± 65.70.25 ± 0.19
    p0.1800.0170.0790.012
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Pre-Operative Autologous Blood Donation Does Not Affect Pre-Incision Hematocrit in Adolescent Idiopathic Scoliosis Patients. A Retrospective Cohort of a Prospective Randomized Trial
Anthony J. Boniello, Kushagra Verma, Austin Peters, Baron S. Lonner, Thomas Errico
International Journal of Spine Surgery Jan 2016, 10 27; DOI: 10.14444/3027

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Pre-Operative Autologous Blood Donation Does Not Affect Pre-Incision Hematocrit in Adolescent Idiopathic Scoliosis Patients. A Retrospective Cohort of a Prospective Randomized Trial
Anthony J. Boniello, Kushagra Verma, Austin Peters, Baron S. Lonner, Thomas Errico
International Journal of Spine Surgery Jan 2016, 10 27; DOI: 10.14444/3027
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