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Table 1 Demographics, surgical variables, and immediate postoperative outcomes in adolescent patients with spinal deformity correction who refused blood transfusion

From: Safe and effective performance of pediatric spinal deformity surgery in patients unwilling to accept blood transfusion: a clinical study and review of literature

 

Idiopathic

(n = 15)

Non-Idiopathic

(n = 5)

Demographic Variables

 Age (years)

14.7 ± 2.6

12.4 ± 0.9

 Gender (n, %)

  Female

10 (66.7%)

3 (60%)

  Male

5 (33.3%)

2 (40%)

 BMI (kg/m2)

22.5 ± 5.4

23.9 ± 7.8

 Diagnosis (n, %)

  AIS

14 (93.3%)

0

  JIS

1 (6.7%)

0

  Congenital

0

2 (40%)

  Neuromuscular

0

3 (60%)

 Hemoglobin (g/dL)

13.3 ± 0.9

13.8 ± 1.5

Surgical Variables

 Number of Fusion Levels

10.9 ± 2.3

13.0 ± 4.8

 Number of Ponte Osteotomies

5.7 ± 2.5

5.8 ± 5.6

 Number of Thoracoplasty Levels

3.7 ± 1.8

0

 Hemivertebra Resection (n, %)

0

1 (20%)

 Iliac Fixation (n, %)

0

3 (60%)

 EBL (mL)

286.3 ± 126.0

372.6 ± 154.2

 % EBVL

7.2 ± 3.1

12.7 ± 7.7

 Cell Saver Returned (mL)

74.6 ± 56.2

96.6 ± 58.3

 Total Fluids Transfused (mL)

2114.7 ± 510.3

2461.0 ± 693.0

 Operative Time (min)

197.7 ± 61.5

265.2 ± 53.4

Postoperative Outcomes

 Hemoglobin POD 1 (g/dL)

11.5 ± 1.2

10.6 ± 2.2

 Hemoglobin POD 2 (g/dL)

10.6 ± 1.1

9.8 ± 2.0

 Decrease in Hemoglobin (g/dL)

2.7 ± 0.9

3.9 ± 2.9

 Number of Days in ICU

0

1.2 ± 2.2

 Length of Stay in Hospital (days)

4.9 ± 0.6

5.4 ± 2.1

 In-hospital Complications (n, %)

0

1 (20%)

 Late Complications (n, %)

0

2 (40%)

  1. BMI Body mass index, EBL Estimated blood loss, AIS Adolescent idiopathic scoliosis, JIS Juvenile idiopathic scoliosis, % EBVL Percent estimated blood volume loss, POD Postoperative day