Lower Hemoglobin Following Adult Spine Deformity Surgery Leads to Longer Hospital Length of Stay
Justin Mathew, Jeffrey Gum, Steven D Glassman, Mladen Djurasovic, Morgan E Brown, Colleen Mahoney, Christy Daniels, Leah Carreon · 2025
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Description
Justin Mathew and co-authors test whether strict blood transfusion rules after spine surgery leave patients worse off. During the pandemic blood shortage, hospitals transfused only when haemoglobin fell below seven and a half grams per decilitre. The team compared 51 deformity surgery patients under that rigid rule with 43 treated later under looser thresholds. The groups matched in age, sex mix, blood loss, and operating time.
The lowest haemoglobin after surgery was about the same in both groups, about nine against nine point three, and the rigid rule did not lengthen hospital stay. Across all 94 patients, stay was predicted by how low haemoglobin fell. Patients bottoming out below seven and a half stayed eight point two days on average, against three point six days for those staying above nine and a half. The authors call for work on why low counts and long stays travel together.
Catalog record
| CREATOR | Justin Mathew, Jeffrey Gum, Steven D Glassman, Mladen Djurasovic, Morgan E Brown, Colleen Mahoney, Christy Daniels, Leah Carreon |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 18 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |