Perioperative medicine & outcomes
Associations of preoperative anaemia with healthcare resource use and outcomes after colorectal surgery: a population-based cohort study
Main findingResult — go to the resultRatio of means 1.05 95% CI 1.04–1.06Authors' conclusion
Approximately $2671 CAD per person in 30-day health system costs are attributable to preoperative anaemia after colorectal surgery in Ontario, Canada.
Study context
- Population
- Ontario, Canada residents aged ≥18 yr undergoing elective colorectal resection, 2012–2022
- Participants
- 54,286 participants
- Exposure
- Preoperative anaemia vs no preoperative anaemia
- Anaemian = 21,264
- Outcome
- Costs in 2022 Canadian dollars (CAD), publicly funded healthcare system perspective
- Follow-up
- 30 days
Methodological detailslinked, routinely collected data
- Linked, routinely collected data
Main finding
As reported in the abstract
Ratio of means
1.05
95% CI 1.04–1.06
Anaemia vs Control
ratio of means 1.05 (95% CI 1.04–1.06)
- Absolute adjusted cost increase per person attributable to preoperative anaemia
- $2671
Observational data: associations, not effects.
Secondary outcomes
| Outcome | Estimate | |
|---|---|---|
| RBC transfusion · 30 days | OR 4.34 (95% CI 4.04–4.66) | |
| LOS · 30 days | ratio of means 1.08 (95% CI 1.07–1.10) | |
| Readmissions · 30 days | OR 1.16 (95% CI 1.08–1.24) | |
| DAH · 30 days | ratio of means 0.95 (95% CI 0.95–0.96) | |
| 0.20.5125Ratio (log scale) |
Safety
| Outcome | OR (95% CI) | |
|---|---|---|
| Major adverse events · 30 days | 1.14 (1.03–1.27) | |
| 0.512Odds ratio (log scale) |
Original publication
Associations of preoperative anaemia with healthcare resource use and outcomes after colorectal surgery: a population-based cohort study. Br J Anaesth. Published 20 April 2024. doi:10. 1016/ j. bja. 2024. 03. 018
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