Arturo Pinna Pintor Foundation fondazionepinnapintor'it Mauriziano Umberto I Hospital Turin Italy

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Arturo Pinna Pintor Foundation -
fondazione_at_pinnapintor.it Mauriziano Umberto
I Hospital Turin - Italy
Can preoperative antiplatelet treatment increase
post-operative bleeding and the need for blood
transfusions in cardiac surgery? S
Colangelo, M Bobbio, M Giammaria,
C Comoglio, F Parisi, G Punta, R Casabona,
P Pinna Pintor
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Arturo Pinna Pintor Foundation Mauriziano
Umberto I Hospital Turin - Italy
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• 253 patients
• 6 patients died
• 3 patients without CPB
• 15 patients with unspecified treatment
  withdrawal
• 16 patients reoperated for
• bleeding
• ______________________________
• 213 patients

Arturo Pinna Pintor Foundation Mauriziano
Umberto I Hospital Turin - Italy
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Arturo Pinna Pintor Foundation Mauriziano
Umberto I Hospital Turin - Italy

• 213 patients
• Group A 84 patients, lt 7 days
• Group B 129 patients, gt 7 days
• Variables considered
• Age
• Length of CPB
• Haemoglobin level (12 hours after the beginning
  of intervention)
• Chest tube drainage (4 and 12 hours after ICU
  admission)
• RBC and plasma units transfused

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Arturo Pinna Pintor Foundation Mauriziano
Umberto I Hospital Turin - Italy
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Age and length of CPB
value (mean SD)
Arturo Pinna Pintor Foundation Mauriziano
Umberto I Hospital Turin - Italy
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Haemoglobin levels
g/dl (mean SD)
Arturo Pinna Pintor Foundation Mauriziano
Umberto I Hospital Turin - Italy
8
Chest tube drainage
ml (mean SD)
Arturo Pinna Pintor Foundation Mauriziano
Umberto I Hospital Turin - Italy
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RBC and plasma units
units (mean SD)
Arturo Pinna Pintor Foundation Mauriziano
Umberto I Hospital Turin - Italy
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Hb level
Group B
Arturo Pinna Pintor Foundation Mauriziano
Umberto I Hospital Turin - Italy
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Multivariate analysis
Arturo Pinna Pintor Foundation Mauriziano
Umberto I Hospital Turin - Italy
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Conclusions
7 days of preoperative antiplatelet treatment
withdrawal
Minor postoperative bleeding Minor entity of
blood transfusions
Arturo Pinna Pintor Foundation Mauriziano
Umberto I Hospital Turin - Italy