Predictive factors for perioperative blood transfusions in laparoscopic colorectal surgery

Abstract

Preoperative Charlson score, hemoglobin level, carcinoma, and lower rectum pathologies were found to be independent risk factors for PBT in patients undergoing laparoscopic colorectal surgery. Evaluation of these risk factors prior to surgery may be helpful in selecting the patients who could benefit from possible alternatives to perioperative allogeneic blood transfusion and help constitute guidelines for a more responsible use of these alternatives.

The incidence of transfusion and associated risk factors in pelvic reconstructive surgery

“…15,16 Previous studies in the field of colorectal surgery have identified preoperative hemoglobin, medical comorbidities, and malignancy as significant factors associated with transfusion. 17 Abdominal surgical approach is associated with an increased risk of transfusion in comparison to…”

Predictive factors for perioperative blood transfusion in neck dissection

“…It has been shown that a blood transfusion causes effects at multiple levels of the immune system. A number of hypotheses regarding the biologic activity of PBT have been considered, among them host immunomodulation and growth factor delivery from red blood cells, but no definitive mechanistic link has been established …”

Restrictive blood transfusion protocol in malignant upper gastrointestinal and pancreatic resections patients reduces blood transfusions with no increase in patient morbidity

“…These values include factors, such as hemoglobin levels, total blood loss, and operative time, which are traditionally believed to be predictive for administering a transfusion. 10, 11, 12, 13 …”

“…Comorbidities have widely been shown to be prognostic indicators for receiving a transfusion, and in this study, the significant difference of comorbidities between the “No Blood” and “Blood” groups supports this theory. 10, 14 …”