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Blood Transfusion Risk Factors and Cell Saver Impact in Pediatric Scoliosis Surgery
Sponsor: Mehdi Trifa
Summary
Spine surgery for scoliosis correction in pediatric patients is a major procedure associated with a high risk of perioperative blood loss. Homologous blood transfusion carries inherent risks, including immunological reactions, infections, and increased healthcare costs. Identifying high-risk patients is crucial to optimize blood conservation strategies. This retrospective study aims to identify preoperative and intraoperative risk factors associated with homologous red blood cell (RBC) transfusion and to evaluate the quantitative impact of Cell Saver volume reinfusion on reducing homologous transfusion requirements.
Official title: Risk Factors for Homologous Blood Transfusion and Impact of Cell Saver Use in Pediatric Scoliosis Surgery: A Retrospective Monocentric Study
Key Details
Gender
All
Age Range
Any - 17 Years
Study Type
OBSERVATIONAL
Enrollment
200
Start Date
2023-04-01
Completion Date
2026-12-31
Last Updated
2026-06-22
Healthy Volunteers
No
Interventions
posterior Instrumented Spinal Fusion
Standard surgical correction of scoliosis via a posterior approach with spinal instrumentation and arthrodesis, performed under general anesthesia
Intraoperative Cell Saver Autologous Reinfusion
Use of an intraoperative autologous blood salvage device (Cell Saver) during spine surgery. Collected blood is washed, filtered, and reinfused to the patient peroperatively to reduce the need for homologous blood transfusion.
Locations (1)
Bechir Hamza Children Hospital
Tunis, Tunisia