摘要
To the Editor:Red blood cell(RBC)transfusion is commonly performed during on-pump cardiac surgery;however,excessive use may lead to adverse clinical outcomes and medical resources wastage.[1]The call for precision transfusion necessitates the formulation of a patient-centered comprehensive patient blood management(PBM)approach.[2]Such an approach should involve correct assessment of the impact of RBC transfusion on different populations and adoption of transfusion only in patients at risk to improve clinical outcomes.[3]Our team has developed and validated an effective on-pump transfusion score(OPT-score)with eight variables for patients undergoing on-pump cardiac surgery to preoperatively stratify patients to low,medium,or high risk of perioperative RBC transfusion(PRT).[4]In this study,we aimed to conduct a large-scale real-world retrospective study to evaluate the relationship between RBC transfusion and on-pump surgery hospital outcomes in patients with different transfusion risk levels,thereby providing robust evidence for establishing a patient-centered PBM for on-pump cardiac surgery patients.
基金
supported by a grant from the National High Level Hospital Clinical Research Funding(No.2023-GSP-GG-7).
