Hemodynamics, fluids & transfusion

Predicting blood transfusion needs in colorectal surgery at a university hospital in Saudi Arabia: insights into anemia, malnutrition, and surgical factors

Perioper Med (Lond)Published Retrospective cohort study

Main finding · Receipt of ≥1 unit of RBCsResult — go to the resultOdds ratio 1.98 95% CI 1.35–2.90

Authors' conclusion

Key risk factors for perioperative blood transfusion in colorectal surgery are preoperative anemia, diabetes, low BMI, and significant blood loss.

Study context

Population
Patients undergoing colorectal surgery at King Abdulaziz University Hospital, Saudi Arabia, 2013–2022
Participants
434 patients
Exposure
Risk factors for perioperative RBC transfusion
Outcome
Perioperative blood transfusion (one or more units of RBCs)
Methodological detailssingle-centre
  • Single-centre

Main finding

Receipt of ≥1 unit of RBCs

Odds ratio

1.98

95% CI 1.35–2.90

Women vs Men
OR 1.98 (95% CI 1.35–2.90)

As reported in the abstract

Higher ASA score, lower preoperative hemoglobin (Hgb) and malignant disease as reason for surgery associated with transfusion
P < 0.001
On multivariable analysis, transfusion linked to intraoperative blood loss volume and Hgb level
P < 0.001

Observational data: associations, not effects.

Original publication

Predicting blood transfusion needs in colorectal surgery at a university hospital in Saudi Arabia: insights into anemia, malnutrition, and surgical factors. Perioper Med (Lond). Published 16 September 2024. doi:10.1186/s13741-024-00449-w

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