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June 7, 2026Asian Journal of Transfusion ScienceOpen Access

Factors contributing to red blood cells crossmatch, transfusions, and outcomes among surgical patients in Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia

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Authors

NANik Nor Ilyani Nik AzmanUniversiti Sains MalaysiaHHHasmah HussinUniversiti Sains MalaysiaRWRahimah Abdul WahabHospital Raja Perempuan Zainab II

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Overview

Retrospective study evaluates transfusion factors in surgical patients, suggesting optimization for better outcomes.

Key Points

  • To evaluate the crossmatch-to-transfusion ratio and identify factors influencing transfusion outcomes among surgical patients.
  • Conducted a retrospective, cross-sectional study using records of 419 patients from January to December 2022.
  • Utilized systematic sampling and analyzed patient demographics and clinical factors via descriptive and multivariate analyses.
  • Applied binary logistic regression to identify predictors of transfusion outcomes.
  • Crossmatch requests primarily came from male patients (52.3%) and those over 60 years (50.8%).
  • Overall crossmatch-to-transfusion ratio was 1.42, with significant predictors including age over 60 and emergency admissions (P < 0.001).
  • Transfused patients showed higher rebleeding rates (P=0.05), longer hospital stays (~12 days), and lower discharge hemoglobin (8.85 g/dL).

Cite This Study

Azman et al. (2026) studied this question.

synapsesocial.com/papers/6a250be87def13d035e1be5chttps://doi.org/10.4103/ajts.ajts_138_25
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