Comparison of the effects of SAG-M and whole-blood transfusions on postoperative suppression of delayed hypersensitivity.
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Comparison of the effects of SAG-M and whole-blood transfusions on postoperative suppression of delayed hypersensitivity. / Nielsen, Hans Jørgen; Hammer, J H; Moesgaard, F; Kehlet, H.
I: Canadian Journal of Surgery, Bind 34, Nr. 2, 1991, s. 146-150.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning
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T1 - Comparison of the effects of SAG-M and whole-blood transfusions on postoperative suppression of delayed hypersensitivity.
AU - Nielsen, Hans Jørgen
AU - Hammer, J H
AU - Moesgaard, F
AU - Kehlet, H
PY - 1991
Y1 - 1991
N2 - The influence of perioperative whole-blood transfusion and transfusion with erythrocyte suspension (SAG-M blood) on postoperative depression of cell-mediated immunity (CMI) was investigated in 67 patients who underwent elective resection for colorectal cancer. Cell-mediated immunity was assessed pre- and postoperatively by skin testing with seven common delayed-type hypersensitivity (DTH) antigens. The postoperative skin-test response decreased more in the patients who received whole blood (15 patients) than in those who received SAG-M blood (16 patients) (60% versus 42%, p less than 0.001) and in those who did not receive a blood transfusion (36 patients) (60% versus 40%, p less than 0.001). The enhanced postoperative immunosuppression in patients who received whole-blood transfusions persisted after matching according to age, sex, height, weight, hemoglobin and serum albumin levels, duration of surgery and diagnosis. Thus, perioperative transfusion with SAG-M blood does not enhance surgically induced immunosuppression as effectively as does transfusion with whole blood.
AB - The influence of perioperative whole-blood transfusion and transfusion with erythrocyte suspension (SAG-M blood) on postoperative depression of cell-mediated immunity (CMI) was investigated in 67 patients who underwent elective resection for colorectal cancer. Cell-mediated immunity was assessed pre- and postoperatively by skin testing with seven common delayed-type hypersensitivity (DTH) antigens. The postoperative skin-test response decreased more in the patients who received whole blood (15 patients) than in those who received SAG-M blood (16 patients) (60% versus 42%, p less than 0.001) and in those who did not receive a blood transfusion (36 patients) (60% versus 40%, p less than 0.001). The enhanced postoperative immunosuppression in patients who received whole-blood transfusions persisted after matching according to age, sex, height, weight, hemoglobin and serum albumin levels, duration of surgery and diagnosis. Thus, perioperative transfusion with SAG-M blood does not enhance surgically induced immunosuppression as effectively as does transfusion with whole blood.
M3 - Journal article
VL - 34
SP - 146
EP - 150
JO - Canadian Journal of Surgery
JF - Canadian Journal of Surgery
SN - 0008-428X
IS - 2
ER -
ID: 34089024