Hemodynamics, fluids & transfusion

Optimizing the transfusion strategy in surgical patients in a Lebanese university hospital

Perioper Med (Lond)Published Retrospective cohort study

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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