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Effect of recombinant human erythropoietin on transfusion risk in coronary bypass patients.

Authors
D'Ambra, MN; Gray, RJ; Hillman, R; Jones, JW; Kim, HC; Rawitscher, R; Schnaper, H; Szymanski, I; Vlahakes, GJ; Kaplan, D; Lynch, KE; Guilfoyle, M; Abels, RI
Citation
The Annals of thoracic surgery, 64(6):1686-1693, 1997
Journal Title
The Annals of thoracic surgery
ISSN
0003-49751552-6259
Abstract
BACKGROUND: Patients having a cardiac operation frequently require allogeneic blood transfusions despite surgical blood-conservation techniques. Recombinant human erythropoietin (Epoetin alfa) may augment this conservation by stimulating erythropoiesis. The safety and efficacy of perioperative use of Epoetin alfa to reduce the need of allogeneic transfusion was studied.



METHODS: A multicenter double-blind, placebo-controlled, parallel-group study involved 182 patients having coronary artery bypass grafting and randomized to receive Epoetin alfa (300 or 150 IU/kg) or placebo subcutaneously for 5 days before, on the day of, and for 2 days after operation.



RESULTS: Perioperative Epoetin alfa resulted in greater increases in baseline to preoperative hemoglobin levels and hematocrit (300 IU/kg) and in presurgery to postsurgical day 1 reticulocyte counts versus placebo (p < or = 0.05). However, there was no significant difference in transfusion requirements. Incidences of adverse events were similar in all study groups.



CONCLUSIONS: Lower incidences of allogeneic blood exposure were observed in both Epoetin alfa-treated groups; however, the differences between all treatment groups were not significant. This was probably due to the relatively short 5-day preoperative course of Epoetin alfa therapy. There were no significant differences between the three groups relative to safety. Epoetin alfa was well tolerated in this population.
MeSH terms
Antibodies/bloodBlood Transfusion*Coronary Artery BypassDouble-Blind MethodEpoetin Alfa/administration & dosage/adverse effects/immunology/*therapeutic useFemaleHematocritHemoglobins/analysisHumansMaleMiddle Aged
PMID
9436556
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Hematology-Oncology
AJOU Authors
김, 효철
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