Hemodynamics, fluids & transfusion

Intra‐operative blood transfusion in elderly patients on antithrombotic therapy

Acta Anaesthesiol ScandPublished Secondary analysis of the POSE prospective observational cohort study

Primary result · Intra-operative transfusion of packed RBCResult — go to the resultCrude odds ratio 1.51 95% CI 1.18–1.94

Authors' conclusion

We found that chronic antithrombotic therapy was associated with intra-operative transfusion of packed red blood cells in elderly patients undergoing elective procedures in an unadjusted analysis, but not in a multivariate adjusted model.

Study context

Population
Patients aged ≥80 years undergoing elective procedures, 177 European centres, October 2017 to December 2018of 9497 POSE patients
Participants
7,174 patients
Comparison
Chronic antithrombotic therapy vs no antithrombotic therapy
  • Antithrombotic therapyn = 4,073
Primary endpoint
Intra-operative transfusion of packed RBCs
Methodological detailsmulticentre, multiple logistic regression
  • Multicentre
  • Multiple logistic regression

Primary result

Intra-operative transfusion of packed RBC

Crude odds ratio

1.51

95% CI 1.18–1.94

Events by treatment group

Antithrombotic therapy vs No antithrombotic therapy
crude OR 1.51 (95% CI 1.18–1.94)

As reported in the abstract

Adjusted OR after multiple logistic regression (associated in unadjusted analysis, not in multivariate adjusted model)
0.98; 0.73-1.32

Original publication

Intra‐operative blood transfusion in elderly patients on antithrombotic therapy. Acta Anaesthesiol Scand. Published 13 February 2023. doi:10.1111/aas.14197

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