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Finally, despite a high transfusion rate, those transfused were discharged with significantly lower hemoglobin than those who did not receive any transfusions (9.8 ± 1.4 g/dl versus 10.8 ± 1.8 g/dl; P < 0.0001; Table 3).
Within this high transfusion trigger group, there were 52 (48%) cases of bleeding, 67 (61%) cases of severe sepsis, 28 (26%) cases of ischaemic heart disease and 2 (2%) cases of traumatic brain injury.
In a retrospective study on transfusions in pediatric cardiac ICU [24], admission Hb ranged from 141 to 150 g/L, nadir Hb level was 121 g/L in patients who were not transfused, 119 g/L in a low transfusion group, and 115 g/L in a high transfusion group, suggesting that transfusions may have been given for reasons other than anemia.
We found a high transfusion rate, dislocation rate (10%), and midterm overall aseptic revision rate (17%).
The high transfusion requirements result in iron overload, and the patients need chelating therapy.
21 Secondly, joint arthroplasties are associated with significant blood loss with relatively high transfusion rates compared with other elective surgeries.
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The relevance of a higher transfusion threshold in view of avoiding morbidity in patients presenting a cardiovascular risk is unlikely, at least uncertain.
On the contrary, treatment of femoral fractures with the DHS has resulted in higher transfusion rates [31].
In this retrospective study of patients with severe sepsis and septic shock, we investigated whether a higher transfusion threshold of Hb≤11g/dL or higher, compared with Hb≤9g/dL, was associated with improved outcomes including ICU and in-hospital mortality.
However, some studies challenged the general implementation of this restrictive strategy and suggested that a higher transfusion threshold might be beneficial in septic patients for whom oxygen delivery is of paramount importance.
However, patients with a normal BMI had significantly higher transfusion rates (P = 0.005), and were significantly more likely to have a prolonged LOS (≥2 days), when compared with an overweight BMI (P = 0.032) CONCLUSIONS: BMI did not impact the stone-free, or complication rates of tubeless PCNL.
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