Satoglu Ismail Safa, Akcay Serkan, Horoz Levent, Kaya Erol, Karakasli Ahmet, Skiak Eyad, Basci Onur
Ismail Safa Satoglu, Department of Orthopaedics & Traumatology, Dokuz Eylul University, Faculty of Medicine, Izmir, Turkey.
Serkan Akcay, Department of Orthopaedics & Traumatology, Kurtköy Ersoy Hospital, Istanbul, Turkey.
Pak J Med Sci. 2015 Jul-Aug;31(4):787-90. doi: 10.12669/pjms.314.7884.
The effects of perioperative blood transfusion on renal functions have been studied in various studies. In this study, we investigated the effects of blood transfusion on postoperative kidney functions in patients who underwent orthopaedic surgeries.
Total 136 patients who were operated for several orthopedic pathologies between June 2013 and December 2014 were evaluated. The patients were divided into two groups according to the amounts of blood transfusion. Ninety five patients (69.8%) who were transfused less than 3 units were included in Group 1 and 41 patients (30.2%) who received 3 and more units of blood were included in Group 2.
There were no statistical difference between the two groups in terms of preoperative gender, hypertension, diabetes mellitus, chronical renal failure and smoking habbits (P > 0.05). No statistical differences between the groups were seen in terms of postoperative hospital stay, pulmonary and other complications as well as mortality (P > 0.05). When the two groups were compared for blood parameters showing postoperative renal and other system functions, no statistical differences were detected (P > 0.05).
Blood transfusion does not have negative effects on postoperative BUN and creatinine levels in patients operated for orthopaedic pathologies.
多项研究探讨了围手术期输血对肾功能的影响。在本研究中，我们调查了输血对接受骨科手术患者术后肾功能的影响。
对2013年6月至2014年12月期间因多种骨科疾病接受手术的136例患者进行评估。根据输血量将患者分为两组。第1组包括95例（69.8%）输血量少于3单位的患者，第2组包括41例（30.2%）接受3单位及以上输血的患者。
两组患者在术前性别、高血压、糖尿病、慢性肾衰竭和吸烟习惯方面无统计学差异（P>0.05）。两组在术后住院时间、肺部及其他并发症以及死亡率方面无统计学差异（P>0.05）。比较两组显示术后肾脏及其他系统功能的血液参数时，未检测到统计学差异（P>0.05）。
输血对接受骨科手术的患者术后血尿素氮和肌酐水平没有负面影响。
