Perioperative Transfusion Trigger Score Project Used In Gynecological Operation

Objective To evaluate the safety and effectively of transfusion plan guided by POTTS in gynecological patients with Hb level ranged from 60 to 100 g/L.Methods 120 gynecological patients with perioperative Hb level ranged from 60 to 100 g/L.Inclusion criteria :aged more than 14 years of age,place of permanent residence < 2 500 meters above sea level,ASA rating of Ⅰ-Ⅲ,single blind, controlled,parallel and divided into two groups:POTTS group(n = 60) and control group(n = 60).Patients in POTTS group received transfusion under the guidance of POTTS.Patients in control group received transfusion according to doctor’s experience.Exclude emergency operation, suffering from blood diseases, hemoglobin, oxygen-carrying capacity of defects,must be of acute hypervolemic hemodilution in surgery,tumor metastasis has occurred,or within 3 months of participation in other clinical trials researchers and do not meet the test.Observe and compare the proportion of injecting RBCs,the amount of RBCs, the incidence of serious complications and mortality,ICU occupancy rate, postoperative Hb recovery, incision healing, hospitalization time, blood transfusion related costs and costs of hospitalization.Results This study included 120 patients, including intraoperative detection of cancer metastasis in 1 case, 2 cases of early discharge, lost three cases, the ultimate success of 114 cases included in the study.POTTS group have 57 cases, control group also have 57 cases.Two groups of subjects preoperative parameters baseline analysis showed no statistical different(P > 0.05)). The transfusion rate and volume in POTTS group were significantly lower than the control group(P < 0.01). Neither severe complications nor any mortality were found in each group.The transfusion costs in POTTS group were significantly less than the control group(P < 0.01). Two groups had no postoperative ICU admission;the postoperative Hb recovery, incision healing, hospitalization time and costs of hospitalization in two groups were not statistically significant.Conclusion POTTS could be safety and effectively used in gynecological patients with Hb level ranged from 60 to 100 g/L, also effectively save the blood, reduce the costs of blood transfusion, not increase perioperative mortality and the incidence of various complications.