The correlation between ACEF Ⅱ score and perioperative blood transfusion in adult cardiac surgery patients  

作　　者：HUANG Zi-jian LIAO Qiu-feng LI Si-min LIU Qi ZHANG Yong-ping 

机构地区：[1]Department of Cardiac Surgical Intensive Care Unit,Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences),Southern Medical University,Guangzhou 510080,China

出　　处：《South China Journal of Cardiology》2024年第4期207-215,共9页岭南心血管病杂志(英文版)

摘　　要：Background The age, creatinine levels, and the ejection fraction Ⅱ score(ACEF Ⅱ score) are significant indicators for assessing inflammation and predicting adverse outcomes following cardiac surgery. Our objective was to investigate the predictive value of the recently updated ACEF Ⅱ score concerning perioprative blood transfusion in adult patients undergoing cardiac surgery. Methods A retrospective review was conducted involving adults(≥18 years) who underwent cardiac surgery for heart disease between January 2019 and June 2019. The primary outcome measure was perioperative blood transfusion among adult patients. Multivariable logistic regression and receiver operation characteristic(ROC) analysis were applied to analyze the link between the ACEF Ⅱ score and perioperative blood transfusion. Results A total of 415 patients were included, participants were stratified into three groups based on their ACEF Ⅱ scores level: ACEF Ⅱ <0.666, 0.666 ≤ ACEF Ⅱ <0.950, and 0.950 ≤ ACEF II ≤4.781. Multivariable Logistic regression analysis indicated that a high ACEF Ⅱ score(OR: 3.59, 95% CI: 1.68-7.67, P<0.001) was independently associated with an increased risk of perioperative blood transfusion among adults undergoing cardiac surgery. Furthermore, the area under the receiver operating characteristic curve for predicting perioperative blood transfusion risk using the ACEF Ⅱ score was found to be 0.607. The Pearson correlation coefficient showed a direct and statistically significant positive correlation between ACEF Ⅱ score and perioperative blood transfusion(r=0.17, P<0.001). Conclusions In conclusion, our findings suggested that the ACEF Ⅱ score possessed significant predictive value regarding related to perioperative blood transfusions during cardiac surgical procedures in adult patients. The higher the ACEF Ⅱ score, the higher incidence of perioperative blood transfusions.

关 键 词：ACEF Ⅱ score Perioperative blood transfusion Adult patients Cardiac surgery 

分 类 号：R73[医药卫生—肿瘤]