Araştırma Makalesi
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Erişkin Kalp Cerrahisinde, ABO ve RH Kan Gruplarının İnotropik Ajan Kullanımı Üzerine Etkileri

Yıl 2021, Cilt: 16 Sayı: 1, 89 - 95, 08.02.2021
https://doi.org/10.17517/ksutfd.782016

Öz

Objective:The objective of this study is to investigate the effects of use of inotropic agents on ABO and RH blood groups in adult cardiac surgery.
Method: We retrospectively analyzed the hospital information management system records and files of patients who underwent CPB between June 15, 2017 and November 15, 2019.We evaluated the patients’ age, sex, blood group, diagnosis, use of fentanyl and demizolam in induction, CPB time, cross-clamp time, operation time, use of intraoperative and postoperative inotropic agents, postoperative intubation period, and day of intensive care hospitalization.
Results:There was no difference between the ABO and RH blood groups in terms of use of fentanyl and demizolam in induction,CPB time, cross-clamp time, postoperative intubation time, day of intensive care hospitalization, and operation time. Postoperative dopamine use was higher in blood groups A, B, and O than its intraoperative use (p=0.001,p=0.014,p=0.001). Postoperative norepinephrine use was higher among A,B,and O blood groups than its intraoperative use (p=0.001,p=0.025,p=0.002). Postoperative nitroglycerin use was higher in blood group O than its intraoperative use (p=0.034).The use of postoperative dopamine, norepinephrine, and nitroglycerin was higher in the RH (+) group as compared to intraoperative use (p = 0.001,p=0.001,p=0.011). Postoperative norepinephrine use was higher in the RH (–) group than in its intraoperative use (0.004). The use of intraoperative nitroglycerin in the RH (+) group was higher as compared to the RH (–) group (p=0.042).
Conclusion:Our study found that the use of inotropic agents was different in ABO and RH blood groups.

Kaynakça

  • Reference 1. Guyton AC, Hall JE. Blood Types; Transfusion;Tissue and Organ Trans- plantation. In: Guyton AC, Hall JE, editors. Textbook of Medical Physiology. Philedelphia: W.B. Saunders. 2006;452-53.
  • Reference 2. Storry JR, Castilho L, Daniels G, Flegel WA, Garratty G, de Haas M. International Society of Blood Group Terminology: Cancun Report (2012). Vox Sang 2013; 107: 90-6.
  • Reference 3. Sun GH, Bruguera C, Saadat S , Moss D, Schumann R, Welsby IJ, et al. ABO Blood Group and Transfusions In the Intraoperative and Postoperative Period After LVAD Implantation. Journal of Cardiothoracic and Vascular Anesthesia 2019; 000: 1-6.
  • Reference 4. Bilgen H. Kan grup Antijenleri. İ.Ü. Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri. Herkes için Transfüzyon Tıbbı Sempozyum Dizisi No: 44:55-65, 2005.
  • Reference 5. Pisk SV, Vuk T, Ivezić E, Irena Jukić, Jasna Bingulac-Popović, Igor Filipčić. ABO blood groups and psychiatric disorders: a Croatian study. Blood Transfus 2019; 17: 66-71.
  • Reference 6. Stamatakos M, Kontzoglou K, Safioleas C, Safioleas C, Manti C, Safioleas M. Breast cancer incidence in Greek women in relation to ABO blood groups and RH factor. Int Semin Surg Oncol 2009; 6: 14.
  • Reference 7. Franchini M, Favaloro EJ, Targher G, Lippi G. ABO blood group, hypercoagulability, and cardiovascular and cancer risk. Crit Rev Clin Lab Sci 2012; 49: 137-49.
  • Reference 8. Jukic I, Bingulac-Popovic J, Dogic V, Hecimovic A, Babic I, Batarilo I. Evaluation of ABO blood groups as a risk factor for myocardial infarction. Blood Transfus 2012; 29: 1-2.
  • Reference 9. St. Andre´ AC, DelRossi A. Hemodynamic management of patients in the first 24 hours after cardiac surgery. Crit Care Med 2005; 33: 2082-93.
  • Reference 10. M. Müller, A. Junger, M. Brau, Kwapisz M.M, E. Schindler, H. Akintiirk et al. Incidence and risk calculation of inotropic support in patients undergoing cardiac surgery with cardiopulmonary bypass using an automated anaesthesia recordkeeping system. Br J Anaesth 2002; 89: 398-404.
  • Reference 11. Ahmed I, House CM, Nelson WB. Predictors of inotrope use in patients undergoing concomitant coronary artery bypass graft (CABG) and aortic valve replacement (AVR) surgeries at separation from cardiopulmonary bypass (CPB). J Cardiothorac Surg 2009; 4: 24.
  • Reference 12. Du Y, Shi H , Yu J. Comparison in anesthetic effects of propofol among patients with different ABO blood groups. Medicine 2017; 96: 20.
  • Reference 13. Nozohoor S, Ahmad K, Bjurbom M, Hansson EC, Heimisdottir A, Jeppssone A, et al. ABO blood group does not impact incidence or outcomes of surgery for acute type A aortic dissection. Scandinavian cardiovascular journal 2019; 54:2, 124-129.
  • Reference 14. Komatsu R, Dalton JE, Ghobrial M, Fu AY, Lee JH, Egan C, et al. Blood type O is not associated with increased blood loss in extensive spine surgery. J Clin Anesth 2014; 26: 432-7.
  • Reference 15. Mazzeffi M, Gupta R, Lonergan T, Pasrija C, Kon Z, Tanaka K. ABO type and bleeding during adult ECMO. Intensive Care Med 2017; 43: 275-6.
  • Reference 16. Horwich I, Evans DA, Mc Connell RB, W T Donohoe. ABO blood groups in gastric bleeding, Gut 1966; 7: 680-5.
  • Reference 17. D'Adamo P, Whitney CH. Live Right 4 Your Type: 4 Blood Types, 4 Program–The Individualized Prescription for Maximizing Health, Metabolism, and Vitality in Every Stage of Your Life. Berkley: GP Putnam & Sons, 2001.
  • Reference 18. McRae-Clark AL, Cason AM, Kohtz AS, Santa-Maria MM, Jones GA , Brady KT,. Impact of Gender on Corticotropin-Releasing Factor and Noradrenergic Sensitivity in Cocaine Use Disorder. J Neurosci Res 2017; 95: 320-7.
  • Reference 19. Aflatoonian MR, Meymandi MS, Divsalar K, Mahmoudi M, Heravi G. Possible association between human blood types and opioid addiction. Am J Addict 2011; 20: 581-4.
  • Reference 20. Rinieris PM, Stefanis CN, Lykouras EP, Varsou EK. Affective disorders and blood types. Acta Psychiatr Scand 1979; 60: 272-8.
  • Reference 21. Shapiro W, Rafaelsen OJ, Ryder LP, Svejgaard A, Sorensen H. ABO blood groups in unipolar and bipolar manic-depressive patients. Am J Psychiatr 1977; 134: 197-200.
  • Reference 22. Aird I, Bentall HH, Roberts JA. A relationship between cancer of stomach and the ABO blood groups. Br Med J 1953; 1(4814): 799-801.
  • Reference 23. Le Pendu J, Marionneau S, Cailleau-Thomas A, Rocher J, Le Moullac-Vaidye B, Clement M. ABH and Lewis histoblood group antigens in cancer. APMIS: acta pathologica, microbiologica, et immunologica Scandinavica 2001;
  • Reference 24. Wang W, Liu L, Wang Z, Lu X, Wei M, Lin T, et al ABO blood group and esophageal carcinoma risk: from a case–control study in Chinese population to meta-analysis. Cancer Causes Control 2014 25:1369–77.
  • Reference 25. Risch HA, Lu L, Wang J, Zhang W, Ni Q, Gao YT et al. ABO blood group and risk of pancreatic cancer: a study in shanghai and meta-analysis. Am J Epidemiol 2013; 177: 1326-37.
  • Reference 26. Peng PW, Ho PL, Hota SS. Outbreak of a new coronavirus: what anesthetists should know. British Journal of Anaesthesia 2020. doi.org/10.1016/j.bja.2020.02.008.
  • Reference 27. Zhao J, Yang Y, Huang HP, Li D, Gu DF, Lu XF, et al. Relationship between the ABO Blood Group and the COVID-19 Susceptibility.BMJ Yale MedR xiv. doi.org/10.1101/2020.03.11.20031096.

Effects of use of inotropic agents on ABO and RH blood groups in adult cardiac surgery

Yıl 2021, Cilt: 16 Sayı: 1, 89 - 95, 08.02.2021
https://doi.org/10.17517/ksutfd.782016

Öz

Objective:The objective of this study is to investigate the effects of use of inotropic agents on ABO and RH blood groups in adult cardiac surgery.
Method: We retrospectively analyzed the hospital information management system records and files of patients who underwent CPB between June 15, 2017 and November 15, 2019.We evaluated the patients’ age, sex, blood group, diagnosis, use of fentanyl and demizolam in induction, CPB time, cross-clamp time, operation time, use of intraoperative and postoperative inotropic agents, postoperative intubation period, and day of intensive care hospitalization.
Results:There was no difference between the ABO and RH blood groups in terms of use of fentanyl and demizolam in induction,CPB time, cross-clamp time, postoperative intubation time, day of intensive care hospitalization, and operation time. Postoperative dopamine use was higher in blood groups A, B, and O than its intraoperative use (p=0.001,p=0.014,p=0.001). Postoperative norepinephrine use was higher among A,B,and O blood groups than its intraoperative use (p=0.001,p=0.025,p=0.002). Postoperative nitroglycerin use was higher in blood group O than its intraoperative use (p=0.034).The use of postoperative dopamine, norepinephrine, and nitroglycerin was higher in the RH (+) group as compared to intraoperative use (p = 0.001,p=0.001,p=0.011). Postoperative norepinephrine use was higher in the RH (–) group than in its intraoperative use (0.004). The use of intraoperative nitroglycerin in the RH (+) group was higher as compared to the RH (–) group (p=0.042).
Conclusion:Our study found that the use of inotropic agents was different in ABO and RH blood groups.

Kaynakça

  • Reference 1. Guyton AC, Hall JE. Blood Types; Transfusion;Tissue and Organ Trans- plantation. In: Guyton AC, Hall JE, editors. Textbook of Medical Physiology. Philedelphia: W.B. Saunders. 2006;452-53.
  • Reference 2. Storry JR, Castilho L, Daniels G, Flegel WA, Garratty G, de Haas M. International Society of Blood Group Terminology: Cancun Report (2012). Vox Sang 2013; 107: 90-6.
  • Reference 3. Sun GH, Bruguera C, Saadat S , Moss D, Schumann R, Welsby IJ, et al. ABO Blood Group and Transfusions In the Intraoperative and Postoperative Period After LVAD Implantation. Journal of Cardiothoracic and Vascular Anesthesia 2019; 000: 1-6.
  • Reference 4. Bilgen H. Kan grup Antijenleri. İ.Ü. Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri. Herkes için Transfüzyon Tıbbı Sempozyum Dizisi No: 44:55-65, 2005.
  • Reference 5. Pisk SV, Vuk T, Ivezić E, Irena Jukić, Jasna Bingulac-Popović, Igor Filipčić. ABO blood groups and psychiatric disorders: a Croatian study. Blood Transfus 2019; 17: 66-71.
  • Reference 6. Stamatakos M, Kontzoglou K, Safioleas C, Safioleas C, Manti C, Safioleas M. Breast cancer incidence in Greek women in relation to ABO blood groups and RH factor. Int Semin Surg Oncol 2009; 6: 14.
  • Reference 7. Franchini M, Favaloro EJ, Targher G, Lippi G. ABO blood group, hypercoagulability, and cardiovascular and cancer risk. Crit Rev Clin Lab Sci 2012; 49: 137-49.
  • Reference 8. Jukic I, Bingulac-Popovic J, Dogic V, Hecimovic A, Babic I, Batarilo I. Evaluation of ABO blood groups as a risk factor for myocardial infarction. Blood Transfus 2012; 29: 1-2.
  • Reference 9. St. Andre´ AC, DelRossi A. Hemodynamic management of patients in the first 24 hours after cardiac surgery. Crit Care Med 2005; 33: 2082-93.
  • Reference 10. M. Müller, A. Junger, M. Brau, Kwapisz M.M, E. Schindler, H. Akintiirk et al. Incidence and risk calculation of inotropic support in patients undergoing cardiac surgery with cardiopulmonary bypass using an automated anaesthesia recordkeeping system. Br J Anaesth 2002; 89: 398-404.
  • Reference 11. Ahmed I, House CM, Nelson WB. Predictors of inotrope use in patients undergoing concomitant coronary artery bypass graft (CABG) and aortic valve replacement (AVR) surgeries at separation from cardiopulmonary bypass (CPB). J Cardiothorac Surg 2009; 4: 24.
  • Reference 12. Du Y, Shi H , Yu J. Comparison in anesthetic effects of propofol among patients with different ABO blood groups. Medicine 2017; 96: 20.
  • Reference 13. Nozohoor S, Ahmad K, Bjurbom M, Hansson EC, Heimisdottir A, Jeppssone A, et al. ABO blood group does not impact incidence or outcomes of surgery for acute type A aortic dissection. Scandinavian cardiovascular journal 2019; 54:2, 124-129.
  • Reference 14. Komatsu R, Dalton JE, Ghobrial M, Fu AY, Lee JH, Egan C, et al. Blood type O is not associated with increased blood loss in extensive spine surgery. J Clin Anesth 2014; 26: 432-7.
  • Reference 15. Mazzeffi M, Gupta R, Lonergan T, Pasrija C, Kon Z, Tanaka K. ABO type and bleeding during adult ECMO. Intensive Care Med 2017; 43: 275-6.
  • Reference 16. Horwich I, Evans DA, Mc Connell RB, W T Donohoe. ABO blood groups in gastric bleeding, Gut 1966; 7: 680-5.
  • Reference 17. D'Adamo P, Whitney CH. Live Right 4 Your Type: 4 Blood Types, 4 Program–The Individualized Prescription for Maximizing Health, Metabolism, and Vitality in Every Stage of Your Life. Berkley: GP Putnam & Sons, 2001.
  • Reference 18. McRae-Clark AL, Cason AM, Kohtz AS, Santa-Maria MM, Jones GA , Brady KT,. Impact of Gender on Corticotropin-Releasing Factor and Noradrenergic Sensitivity in Cocaine Use Disorder. J Neurosci Res 2017; 95: 320-7.
  • Reference 19. Aflatoonian MR, Meymandi MS, Divsalar K, Mahmoudi M, Heravi G. Possible association between human blood types and opioid addiction. Am J Addict 2011; 20: 581-4.
  • Reference 20. Rinieris PM, Stefanis CN, Lykouras EP, Varsou EK. Affective disorders and blood types. Acta Psychiatr Scand 1979; 60: 272-8.
  • Reference 21. Shapiro W, Rafaelsen OJ, Ryder LP, Svejgaard A, Sorensen H. ABO blood groups in unipolar and bipolar manic-depressive patients. Am J Psychiatr 1977; 134: 197-200.
  • Reference 22. Aird I, Bentall HH, Roberts JA. A relationship between cancer of stomach and the ABO blood groups. Br Med J 1953; 1(4814): 799-801.
  • Reference 23. Le Pendu J, Marionneau S, Cailleau-Thomas A, Rocher J, Le Moullac-Vaidye B, Clement M. ABH and Lewis histoblood group antigens in cancer. APMIS: acta pathologica, microbiologica, et immunologica Scandinavica 2001;
  • Reference 24. Wang W, Liu L, Wang Z, Lu X, Wei M, Lin T, et al ABO blood group and esophageal carcinoma risk: from a case–control study in Chinese population to meta-analysis. Cancer Causes Control 2014 25:1369–77.
  • Reference 25. Risch HA, Lu L, Wang J, Zhang W, Ni Q, Gao YT et al. ABO blood group and risk of pancreatic cancer: a study in shanghai and meta-analysis. Am J Epidemiol 2013; 177: 1326-37.
  • Reference 26. Peng PW, Ho PL, Hota SS. Outbreak of a new coronavirus: what anesthetists should know. British Journal of Anaesthesia 2020. doi.org/10.1016/j.bja.2020.02.008.
  • Reference 27. Zhao J, Yang Y, Huang HP, Li D, Gu DF, Lu XF, et al. Relationship between the ABO Blood Group and the COVID-19 Susceptibility.BMJ Yale MedR xiv. doi.org/10.1101/2020.03.11.20031096.
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Yavuz Orak 0000-0002-8356-6223

Adem Doğaner 0000-0002-0270-9350

Yayımlanma Tarihi 8 Şubat 2021
Gönderilme Tarihi 18 Ağustos 2020
Kabul Tarihi 23 Aralık 2020
Yayımlandığı Sayı Yıl 2021 Cilt: 16 Sayı: 1

Kaynak Göster

AMA Orak Y, Doğaner A. Effects of use of inotropic agents on ABO and RH blood groups in adult cardiac surgery. KSÜ Tıp Fak Der. Şubat 2021;16(1):89-95. doi:10.17517/ksutfd.782016