Factors associated with the need for blood transfusion during hysterectomy

Abstract

Objective To identify the preoperative clinical conditions associated with the need to perform a blood transfusion among patients undergoing hysterectomy. Methods In a retrospective, comparative, case–control trial at the University Hospital, Nuevo León, Mexico, the records of patients who underwent elective hysterectomy between 2007 and 2009 were reviewed. Patients were grouped depending on whether or not they required blood transfusion. Clinical features were compared and statistical analysis was performed via the χ2 test. Results Among 794 patients who underwent hysterectomy, 89 (11.2%) required transfusion. The factors significantly associated with transfusion were history of abnormal uterine bleeding (67.0% versus 52.1%), preoperative hemoglobin level (10.1 g/dL versus 12.3 g/dL), magnitude of intra‐operative bleeding (410 mL versus 298 mL), and operative time (172 min versus 144 min); P < 0.001. A significant number of patients who underwent transfusion had increased preoperative prothrombin levels; P = 0.04. Conclusion Hemoglobin level before surgery and a history of abnormal uterine bleeding can be identified preoperatively and might warn about the possibility of a need for transfusion among patients undergoing hysterectomy. For young patients, alterations in clotting mechanisms should be ruled out.

Five‐year trends in perioperative red blood cell transfusion from index cases in five surgical specialties: 2011 to 2015

“…The index case was a common surgical procedure that the authors agreed had a relatively high likelihood of RBC transfusion. [13][14][15] The index cases were: craniotomy with supratentorial tumor resection, single pulmonary lobectomy, abdominal hysterectomy, total hip arthroplasty, and endovascular aortic repair. NSQIP PUFs were queried for each year between 2011 and 2015.…”

Evaluation of perioperative results of total laparoscopic hysterectomy cases: a tertiary referral center experience

“…Preoperative hemoglobin values of patients scheduled for operation due to abnormal uterine bleeding are low and may require postoperative transfusion [25]. In our study, the mean hemoglobin decrease in the post-operative period was 1.5 g / dl in patients scheduled for the hysterectomy.…”