Hemodynamics, fluids & transfusion
Optimizing the transfusion strategy in surgical patients in a Lebanese university hospital
Authors' conclusion
This study therefore confirms that anemic patients are more likely to receive perioperative blood transfusions.
Study context
- Population
- Surgical patients who required transfusion, Notre Dame de Secours-Jbeil University Hospital Center, Lebanon, January 2017–June 2019
- Participants
- 400 transfused surgical patients
- Outcome
- Factors influencing transfusion requirements in surgical patients
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Factors influencing transfusion and post-transfusion complications
- Anemic women required more transfusions than non-anemic women (times)
- 7.6
- Anemic men required more transfusions than non-anemic men (times)
- 12.38
- Urgent and unplanned surgeries more likely to cause post-transfusion complications (times)
- 2.9
- Anemic on admission, women
- 19.5%
- Anemic on admission, men
- 20%
- Preoperative iron workup
- 26.5%
- Highest transfusion rate: orthopedic surgery
- 35%
- Highest transfusion rate: cardiothoracic surgery
- 29.5%
- Pre-transfusion hemoglobin (mean ± SD)
- 9.9 ± 0.6
- Pre-transfusion hematocrit
- 29.7 ± 1.9
Observational data: associations, not effects.
Safety
- Patients with a post-transfusion complication
- 26.3%
Original publication
Optimizing the transfusion strategy in surgical patients in a Lebanese university hospital. Perioper Med (Lond). Published 15 March 2024. doi:10. 1186/ s13741-024-00374-y
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