STUDY DESIGN: A retrospective review of consecutive pediatric and adolescent @entity1 who required posterior spinal fusion to correct @entity1635 . OBJECTIVES: To 1) measure the participation of pediatric @entity1 in predeposit programs for autologous and directed blood donation 2) to assess the success of autologous predonation in preventing allogeneic blood use, 3) to determine whether transfusion indications differed between @entity1 who received allogeneic blood and those who received autologous blood, and 4) to assess factors that predict transfusion requirements during @entity1635 surgery. SUMMARY OF BACKGROUND DATA: Authors of recent studies in adults have questioned whether transfusion of autologous blood is a cost-effective therapy when compared with the less-expensive alternative--transfusion of allogeneic blood. In @entity1 , the efficacy of autologous blood has not been assessed in a large population of surgical @entity1 . In adults, the frequency of @entity1 participation, the success of autologous donors in avoiding allogeneic transfusion, and the proportion of collected autologous units used during the perioperative period are measures used to establish the efficacy of autologous predonation programs. METHODS: Hospital and clinic records for each @entity1 who underwent posterior spinal fusion from September 1, 1989 through September 1, 1994 were reviewed. @entity1503 , autologous donation records, anesthesia records, surgical reports, and hospital records were reviewed. Seventy percent of @entity1 (164 of 243) participated in autologous donation. RESULTS: More than 90% of autologous donors successfully avoided receiving allogeneic blood. @entity1 with @entity2112 (n = 168) were more likely to participate in autologous donation (n = 144) and to avoid allogeneic blood (n = 135). @entity1 with neurologic causes of @entity1635 more commonly used allogeneic or directed donation (56 of 75 @entity1 ). Nineteen @entity1 with neuromuscular causes of @entity1635 participated in autologous donation, but more than one half of this group (10 of 19 @entity1 ) required allogeneic blood in addition to autologous units. CONCLUSIONS: Using measures of efficacy similar to those reported in studies of adults, autologous blood was found to be more effective in meeting the transfusion needs of pediatric @entity1 who required posterior spinal fusion than in meeting those needs in adult surgical @entity1 in previous studies.

Transfusion management in pediatric and adolescent XXXX surgery. Efficacy of autologous blood.

@entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients', 'patient'] @entity2112 :: ('MESH:C564593', 'Disease') :: ['idiopathic scoliosis'] @entity1503 :: ('MESH:D006402', 'Disease') :: ['Blood bank consultation'] @entity1635 :: ('MESH:D012600', 'Disease') :: ['scoliosis']
@entity1635 :: (MESH:D012600,Disease) :: ['scoliosis']
