Abstract
Economical aspects of intraoperative blood loss in a large spinal surgical ward in 2018
Highlights
Intraoperative blood loss and blood transfusions lead to a higher mortality as well as prolonged hospital stay
The intraoperative blood loss showed a significant correlation towards the duration on the intensive care unit (ICU) in both Spearman’s rho and Kendall Tau-b’s
This study shows a correlation between intraoperative blood loss both with the duration of intensive care unit treatment and the overall hospital stay which illustrates the financial impact of elevated intraoperative blood loss
Summary
Intraoperative blood loss and blood transfusions lead to a higher mortality as well as prolonged hospital stay. Spine surgery is prone to long procedures with a greater blood loss [4]. Beckerman et al showed that in singlelevel lumbar fusions 9% (lateral transpsoasfusion (“lateral”—extreme lateral [XLIF]/direct lateral [DLIF]/lumbar lateral [LLIF]) to 17,6% (posterolateral fusion) of overall direct health care costs were solely for room and care [6]. Major procedures in spine are accompanied by elevated intraoperative blood loss which often results in the need of blood transfusions. A prolonged hospital stays as well as at the intensive care unit are cost-sensible factors. Purpose: The aim of this study was to determine a possible correlation between the intraoperative blood loss and the duration of the intensive care unit treatment, and the overall hospital stay
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