Description

Ferraris and Ferraris correlated anemia and age with the need for blood transfusion in adults undergoing cardiac surgery. This can help identify patients who may require more blood or who may benefit from perioperative interventions to reduce blood loss. The authors are from the University of Kentucky.


 

Parameters:

(1) age of the patient in years

(2) estimated red blood cell volume (derived from estimated blood volume and hematocrit), as a measure of anemia

 

Using the equations from 02.08.01 to estimate blood volume from body surface area:

 

estimated blood volume (EBV) in liters in males =

= ((3.29 * (body surface area in square meters)) - 1.229)

 

estimated blood volume (EBV) in liters in females =

= ((3.47 * (body surface area in square meters)) - 1.954)

 

estimated red blood cell volume in mL =

= 1,000 * (estimated blood volume in liters) * (hematocrit as a decimal fraction)

 

ratio of age to estimated red blood cell volume =

= (age in years) / (estimated red blood cell volume)

 

Interpretation:

• The higher the ratio the greater the need for blood transfusion.

Ratio

Estimated Blood Transfusion Need

<= 0.030

<= 2 units

0.031 to 0.050

3 to 6 units

>= 0.051

7 to 13 units

 


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