Scholarlink

Background <p>Effective evacuation of shed blood around the heart and lungs is essential in the early postoperative period following cardiac surgery. Incomplete evacuation can lead to retained blood syndrome (RBS), which may necessitate reintervention. This study aimed to determine the incidence of RBS requiring reintervention and assess its impact on early clinical outcomes.</p> Methods <p>We conducted a prospective, cross-sectional observational study including all adult patients undergoing cardiac surgery between January 1, 2022, and June 30, 2024. Patients who underwent procedures for retained blood were compared to those who did not. Univariate and multivariate analyses were used to evaluate the impact of RBS on postoperative outcomes.</p> Results <p>Among 330 enrolled patients, 49 (14.8%) underwent a total of 65 reintervention procedures (19.5%) for removal of retained blood from the pericardial or pleural spaces. RBS was associated with an increased hospital stay &gt; 11 days (OR 1.379; 95% CI 1.255–1.519; <i>p</i> &lt; 0.001), ICU stay &gt; 2 days (OR 1.035; 95% CI 1.020–1.050; <i>p</i> &lt; 0.001), and ventilation time &gt; 4&#xa0;h (OR 1.158; 95% CI 1.078–1.244; <i>p</i> &lt; 0.001). There was no statistically significant difference in postoperative mortality between the two groups. RBS was an independent predictor of postoperative pulmonary complications (26.5.6% vs. 5.7%, OR 0.167, 95% CI 0.74 − 0.376), deep sternal wound infection or mediastinitis (20.4% vs. 3.9%, OR 0.159, 95% CI 0.063–0.399), and postoperative renal impairment (16.3% vs. 5.3%, OR 0.289, 95% CI 0.115–0.724).</p> Conclusions <p>Retained blood after cardiac surgery is common and significantly associated with prolonged ICU and hospital stays, increased ventilator time, and higher rates of postoperative complications. Early recognition and appropriate management may improve outcomes.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Retained blood syndrome after cardiac surgery: incidence, risk factors, and outcomes; single centre experience Taiz Yemen

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月18日

查看全文
  • Ismail Al-Shameri,
  • Abudar Al-Ganadi,
  • Naseem Al-wsabi

摘要

Background

Effective evacuation of shed blood around the heart and lungs is essential in the early postoperative period following cardiac surgery. Incomplete evacuation can lead to retained blood syndrome (RBS), which may necessitate reintervention. This study aimed to determine the incidence of RBS requiring reintervention and assess its impact on early clinical outcomes.

Methods

We conducted a prospective, cross-sectional observational study including all adult patients undergoing cardiac surgery between January 1, 2022, and June 30, 2024. Patients who underwent procedures for retained blood were compared to those who did not. Univariate and multivariate analyses were used to evaluate the impact of RBS on postoperative outcomes.

Results

Among 330 enrolled patients, 49 (14.8%) underwent a total of 65 reintervention procedures (19.5%) for removal of retained blood from the pericardial or pleural spaces. RBS was associated with an increased hospital stay > 11 days (OR 1.379; 95% CI 1.255–1.519; p < 0.001), ICU stay > 2 days (OR 1.035; 95% CI 1.020–1.050; p < 0.001), and ventilation time > 4 h (OR 1.158; 95% CI 1.078–1.244; p < 0.001). There was no statistically significant difference in postoperative mortality between the two groups. RBS was an independent predictor of postoperative pulmonary complications (26.5.6% vs. 5.7%, OR 0.167, 95% CI 0.74 − 0.376), deep sternal wound infection or mediastinitis (20.4% vs. 3.9%, OR 0.159, 95% CI 0.063–0.399), and postoperative renal impairment (16.3% vs. 5.3%, OR 0.289, 95% CI 0.115–0.724).

Conclusions

Retained blood after cardiac surgery is common and significantly associated with prolonged ICU and hospital stays, increased ventilator time, and higher rates of postoperative complications. Early recognition and appropriate management may improve outcomes.