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Outcomes of Cardiac Surgery in Jehovah’s Witness Patients: A Review
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  • Aimee-Louise Chambault,
  • Louise Brown,
  • Sophie Mellor,
  • Amer Harky
Aimee-Louise Chambault
University of Birmingham College of Medical and Dental Sciences
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Louise Brown
University of Birmingham College of Medical and Dental Sciences
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Sophie Mellor
University of Birmingham College of Medical and Dental Sciences
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Amer Harky
Liverpool Heart and Chest Hospital NHS Foundation Trust
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Abstract

Objective: To review current literature evidence on outcomes of cardiac surgery in Jehovah’s Witness patients. Methods: A comprehensive electronic literature search was done from inception to 20th August 2020 identifying articles that discussed optimisation/outcomes of cardiac surgery in Jehovah’s Witness either as a solo cohort or as comparative to non-Jehovah’s Witnesses. No limit was placed on time and place of publication and the evidence has been summarized in a narrative manner within the manuscript. Results: The outcomes of cardiac surgery in Jehovah’s Witness patients has been described, and also compared, to non-Witness patients within a number of case reports, case series and comparative cohort studies. Many of these studies note no significant differences between outcomes of the two groups for a number of variables, including mortality. Pre-, intra- and post-operative optimisation of the patients by a multidisciplinary team is important to achieve good outcomes. Conclusion: The use of a bloodless protocol for Jehovah’s Witnesses does not appear to significantly impact upon clinical outcomes when compared to non-Witness patients, and it has even been suggested that a bloodless approach could provide advantages to all patients undergoing cardiac surgery. Larger cohorts and research across multiple centres into the long term outcomes of these patients is required.