Abstract
Study Objective: To determine the effects of secondary polycythemia on perioperative hemorrhagic and thrombotic complications. Design: Retrospective chart review. Setting: Surgical patients at a university-affiliated Veterans Administration Hospital. Patients: One hundred patients with a diagnosis of chronic obstructive pulmonary disease and a preoperative hemoglobin concentration (Hb) >16 g/dl and 100 age-, sex-, operation-, and ASA physical status-matched control patients without secondary polycythemia having operations during January to June 1988. Measurements and Main Results: Anesthetic and perioperative records were retrospectively analyzed for excessive bleeding and transfusion requirements. Charts also were retrospectively analyzed for the presence of hemorrhagic and thrombotic complications for 30 days following surgery. The secondary polycythemic patients were compared with the matched control group and did not have a higher frequency of these complications. Red blood cell transfusion requirements for patients with secondary polycythemia were less than that for the matched controls (p < 0.005). There was no statistical difference for transfusions of other types of blood products such as platelets and fresh frozen plasma (FFP). Conclusion: Secondary polycythemia does not impart any added perioperative risk.
| Original language | English |
|---|---|
| Pages (from-to) | 99-103 |
| Number of pages | 5 |
| Journal | Journal of Clinical Anesthesia |
| Volume | 3 |
| Issue number | 2 |
| DOIs | |
| State | Published - Jan 1 1991 |
| Externally published | Yes |
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Keywords
- blood platelet disorders
- Polycythemia
- risk factors, anesthetic
- thrombosis, hemorrhage
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Cite this
Secondary polycythemia does not increase the risk of perioperative hemorrhagic or thrombotic complications. / Lubarsky, David; Gallagher, Christopher J.; Berend, Julia L.
In: Journal of Clinical Anesthesia, Vol. 3, No. 2, 01.01.1991, p. 99-103.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Secondary polycythemia does not increase the risk of perioperative hemorrhagic or thrombotic complications
AU - Lubarsky, David
AU - Gallagher, Christopher J.
AU - Berend, Julia L.
PY - 1991/1/1
Y1 - 1991/1/1
N2 - Study Objective: To determine the effects of secondary polycythemia on perioperative hemorrhagic and thrombotic complications. Design: Retrospective chart review. Setting: Surgical patients at a university-affiliated Veterans Administration Hospital. Patients: One hundred patients with a diagnosis of chronic obstructive pulmonary disease and a preoperative hemoglobin concentration (Hb) >16 g/dl and 100 age-, sex-, operation-, and ASA physical status-matched control patients without secondary polycythemia having operations during January to June 1988. Measurements and Main Results: Anesthetic and perioperative records were retrospectively analyzed for excessive bleeding and transfusion requirements. Charts also were retrospectively analyzed for the presence of hemorrhagic and thrombotic complications for 30 days following surgery. The secondary polycythemic patients were compared with the matched control group and did not have a higher frequency of these complications. Red blood cell transfusion requirements for patients with secondary polycythemia were less than that for the matched controls (p < 0.005). There was no statistical difference for transfusions of other types of blood products such as platelets and fresh frozen plasma (FFP). Conclusion: Secondary polycythemia does not impart any added perioperative risk.
AB - Study Objective: To determine the effects of secondary polycythemia on perioperative hemorrhagic and thrombotic complications. Design: Retrospective chart review. Setting: Surgical patients at a university-affiliated Veterans Administration Hospital. Patients: One hundred patients with a diagnosis of chronic obstructive pulmonary disease and a preoperative hemoglobin concentration (Hb) >16 g/dl and 100 age-, sex-, operation-, and ASA physical status-matched control patients without secondary polycythemia having operations during January to June 1988. Measurements and Main Results: Anesthetic and perioperative records were retrospectively analyzed for excessive bleeding and transfusion requirements. Charts also were retrospectively analyzed for the presence of hemorrhagic and thrombotic complications for 30 days following surgery. The secondary polycythemic patients were compared with the matched control group and did not have a higher frequency of these complications. Red blood cell transfusion requirements for patients with secondary polycythemia were less than that for the matched controls (p < 0.005). There was no statistical difference for transfusions of other types of blood products such as platelets and fresh frozen plasma (FFP). Conclusion: Secondary polycythemia does not impart any added perioperative risk.
KW - blood platelet disorders
KW - Polycythemia
KW - risk factors, anesthetic
KW - thrombosis, hemorrhage
UR - http://www.scopus.com/inward/record.url?scp=0025731990&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0025731990&partnerID=8YFLogxK
U2 - 10.1016/0952-8180(91)90004-7
DO - 10.1016/0952-8180(91)90004-7
M3 - Article
C2 - 2039651
AN - SCOPUS:0025731990
VL - 3
SP - 99
EP - 103
JO - Journal of Clinical Anesthesia
JF - Journal of Clinical Anesthesia
SN - 0952-8180
IS - 2
ER -