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Factors associated with the need for blood transfusion during hysterectomy
Author(s) -
SordiaHernández Luis H.,
Rodriguez Donato S.,
VidalGutierrez Oscar,
MoralesMartinez Arturo,
SordiaPiñeyro María O.,
GuerreroGonzalez Geraldina
Publication year - 2012
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2012.03.040
Subject(s) - medicine , hysterectomy , blood transfusion , retrospective cohort study , surgery
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 χ 2 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.