The effect of universal leukodepletion of packed red blood cells on postoperative infections in high-risk patients undergoing abdominal aortic surgery

Jean-François Baron, Maximilien Gourdin, Michèle Bertrand, Anne Mercadier, Josée Delort, Edouard Kieffer, Pierre Coriat

Research output: Contribution to journalArticle

Abstract

UNLABELLED: We evaluated, by using a before-and-after study, the influence of leukoreduction by filtration on postoperative infections and adverse outcomes in patients undergoing elective major aortic surgery. From January 1995 to October 2000, all patients who underwent elective abdominal aortic surgery were included in the analysis. Before the introduction of systematic leukodepletion of packed red blood cells (RBCs), on April 1, 1998, 192 patients received standard or buffy-coat-depleted packed RBCs. Then, 195 patients were transfused with exclusively filtered leukodepleted packed RBCs. No major significant difference was observed between the groups of patients with regard to preoperative cardiac and pulmonary status, anesthetic and surgical techniques, or transfusion policy. No significant difference in mortality was observed between the two groups. The incidence of postoperative infections was 31% (95% confidence interval, 25%--38%) in the Control group versus 27% (95% confidence interval, 21%--33%) in the Leukodepleted group; severe infectious complications and pneumonia were not significantly different between the two groups of patients. Cardiovascular and respiratory outcomes were not significantly different between the groups. Data from this study suggest that the effect of using leukodepleted RBC on postoperative infections is not of obvious importance.

IMPLICATIONS: We evaluated the influence of leukocyte reduction by filtration of packed red blood cells (RBC) on postoperative infections and adverse outcomes in patients undergoing elective major aortic surgery by comparing two epochs with and without filtration. Data from this study suggest that the effect of using filtered RBC on postoperative infections is not of obvious importance.

Original languageEnglish
Pages (from-to)529-537
JournalAnesthesia and analgesia
Volume94
Issue number3
DOIs
Publication statusPublished - 2002

Fingerprint

Erythrocytes
Infection
Leukocyte Reduction Procedures
Confidence Intervals
Anesthetics
Pneumonia
Lung
Control Groups
Mortality
Incidence

Keywords

  • Adult
  • Aged
  • Aorta, Abdominal
  • Erythrocyte Transfusion
  • Female
  • Filtration
  • Humans
  • Infection
  • Leukapheresis
  • Male
  • Middle Aged
  • Postoperative Complications
  • Journal Article

Cite this

Baron, Jean-François ; Gourdin, Maximilien ; Bertrand, Michèle ; Mercadier, Anne ; Delort, Josée ; Kieffer, Edouard ; Coriat, Pierre. / The effect of universal leukodepletion of packed red blood cells on postoperative infections in high-risk patients undergoing abdominal aortic surgery. In: Anesthesia and analgesia. 2002 ; Vol. 94, No. 3. pp. 529-537.
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The effect of universal leukodepletion of packed red blood cells on postoperative infections in high-risk patients undergoing abdominal aortic surgery. / Baron, Jean-François; Gourdin, Maximilien; Bertrand, Michèle; Mercadier, Anne; Delort, Josée; Kieffer, Edouard; Coriat, Pierre.

In: Anesthesia and analgesia, Vol. 94, No. 3, 2002, p. 529-537.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The effect of universal leukodepletion of packed red blood cells on postoperative infections in high-risk patients undergoing abdominal aortic surgery

AU - Baron, Jean-François

AU - Gourdin, Maximilien

AU - Bertrand, Michèle

AU - Mercadier, Anne

AU - Delort, Josée

AU - Kieffer, Edouard

AU - Coriat, Pierre

PY - 2002

Y1 - 2002

N2 - UNLABELLED: We evaluated, by using a before-and-after study, the influence of leukoreduction by filtration on postoperative infections and adverse outcomes in patients undergoing elective major aortic surgery. From January 1995 to October 2000, all patients who underwent elective abdominal aortic surgery were included in the analysis. Before the introduction of systematic leukodepletion of packed red blood cells (RBCs), on April 1, 1998, 192 patients received standard or buffy-coat-depleted packed RBCs. Then, 195 patients were transfused with exclusively filtered leukodepleted packed RBCs. No major significant difference was observed between the groups of patients with regard to preoperative cardiac and pulmonary status, anesthetic and surgical techniques, or transfusion policy. No significant difference in mortality was observed between the two groups. The incidence of postoperative infections was 31% (95% confidence interval, 25%--38%) in the Control group versus 27% (95% confidence interval, 21%--33%) in the Leukodepleted group; severe infectious complications and pneumonia were not significantly different between the two groups of patients. Cardiovascular and respiratory outcomes were not significantly different between the groups. Data from this study suggest that the effect of using leukodepleted RBC on postoperative infections is not of obvious importance.IMPLICATIONS: We evaluated the influence of leukocyte reduction by filtration of packed red blood cells (RBC) on postoperative infections and adverse outcomes in patients undergoing elective major aortic surgery by comparing two epochs with and without filtration. Data from this study suggest that the effect of using filtered RBC on postoperative infections is not of obvious importance.

AB - UNLABELLED: We evaluated, by using a before-and-after study, the influence of leukoreduction by filtration on postoperative infections and adverse outcomes in patients undergoing elective major aortic surgery. From January 1995 to October 2000, all patients who underwent elective abdominal aortic surgery were included in the analysis. Before the introduction of systematic leukodepletion of packed red blood cells (RBCs), on April 1, 1998, 192 patients received standard or buffy-coat-depleted packed RBCs. Then, 195 patients were transfused with exclusively filtered leukodepleted packed RBCs. No major significant difference was observed between the groups of patients with regard to preoperative cardiac and pulmonary status, anesthetic and surgical techniques, or transfusion policy. No significant difference in mortality was observed between the two groups. The incidence of postoperative infections was 31% (95% confidence interval, 25%--38%) in the Control group versus 27% (95% confidence interval, 21%--33%) in the Leukodepleted group; severe infectious complications and pneumonia were not significantly different between the two groups of patients. Cardiovascular and respiratory outcomes were not significantly different between the groups. Data from this study suggest that the effect of using leukodepleted RBC on postoperative infections is not of obvious importance.IMPLICATIONS: We evaluated the influence of leukocyte reduction by filtration of packed red blood cells (RBC) on postoperative infections and adverse outcomes in patients undergoing elective major aortic surgery by comparing two epochs with and without filtration. Data from this study suggest that the effect of using filtered RBC on postoperative infections is not of obvious importance.

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KW - Aged

KW - Aorta, Abdominal

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KW - Humans

KW - Infection

KW - Leukapheresis

KW - Male

KW - Middle Aged

KW - Postoperative Complications

KW - Journal Article

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JO - Anesthesia and analgesia

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