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 Release 22.0, Sept. 2008
 
Chapter : ch5. Transfusion Medicine Section : Estimation of Blood Loss and Prediction of Blood Transfusion Needs
  Model of Lappas et al for Estimating Blood Use During Cardiac Bypass Surgery

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Copyright (c) 2008-2010, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved.

Overview :

Lappas et al developed a model for predicting blood transfusion requirements during cardiac bypass surgery. This can help determine the number of units that should be crossmatched prior to the surgery. The authors are from Duke University in Durham, North Carolina.

 

Parameters:

(1) age

(2) body weight in pounds

(3) serum creatinine

(4) cardiac function

(5) gender

(6) hematocrit

 

Parameters

Findings

Points

age

> 75 years

1.5

 

65.1 - 75 years

1.0

 

<= 65 years

0

body weight

< 121 pounds

1.5

 

121 - 186.9

0.5

 

>= 187 pounds

0

serum creatinine

> 1.4 mg/dL

1.5

 

1.21 - 1.4 mg/dL

0.5

 

<= 1.2

0

gender

female

1.0

 

male

0

hematocrit

>= 36 percent

0

 

< 36 percent

1.0

cardiac function

moderate to marked impairment

0.5

 

mild to no impairment

0

 

total number of units predicted =

= SUM(points for all 6 parameters)

 

Interpretation:

• minimum number of units predicted: 0

• maximum number of units predicted: 7

 

  References:

Brown AJ. Formula predicts blood use during cardiac surgery. Available at www.medscape.com/viewarticle/531924_print

Lappas G, Phillips-Bute B, et al. Evidence-based prediction of transfusion requirements for aortocoronary bypass graft surgery. Anesth Analg. 2006; 102: SCA-55 (abstract).

 

 

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