Haemodynamics, fluids & transfusion
Association of postoperative anaemia with prolonged hospital length of stay after upper gastrointestinal cancer surgery: a single-centre retrospective cohort study✰
Main finding · Association of first-week Hb nadir with prolonged LOS (multivariable)Result — go to the resultOdds ratio 0.95 per g L-1 95% CI 0.92–0.98Authors' conclusion
Postoperative Hb decline is independently associated with prolonged LOS after elective upper GI cancer surgery.
Study context
- Population
- Patients undergoing elective upper gastrointestinal (GI) cancer surgery at a tertiary hospital in Western Australia
- Participants
- 111 patients
- Exposure
- Prolonged length of stay (LOS) vs expected LOS
- Prolonged LOSn = 26
- Outcome
- Prolonged LOS (above procedure-specific median LOS); association with Hb
Methodological detailssingle-centre, multivariable logistic regression
- Single-centre
- Multivariable logistic regression
Main finding
As reported in the abstract
Association of first-week Hb nadir with prolonged LOS (multivariable)
Odds ratio
0.95 per g L-1
95% CI 0.92–0.98
P = 0.002
First-week Hb nadir
OR 0.95 per g L-1 (95% CI 0.92–0.98); P = 0.002
Per g L-1, as printed
Observational data: associations, not effects.
Further findings
Mean, g L-1
| Outcome | Prolonged LOS | P value |
|---|---|---|
| Intraoperative Hb | 106.5 (SD 17.9) | P = 0.021 |
| Hb on POD 1 · postoperative day 1 | 100.1 (SD 17.3) | P = 0.002 |
| First-week Hb nadir | 89.3 (SD 17.0) | P < 0.001 |
Safety
| Outcome | P value |
|---|---|
| Reoperation | P = 0.001 |
| Unplanned ICU admission | P = 0.023 |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Association of postoperative anaemia with prolonged hospital length of stay after upper gastrointestinal cancer surgery: a single-centre retrospective cohort study✰. BJA Open. Published 3 August 2026. doi:10. 1016/ j. bjao. 2026. 100648
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