Key result
Intraoperative blood transfusion was a strong independent risk factor for postoperative morbidity (OR 3.401) in patients aged 80 years or older undergoing surgery for gastrointestinal cancer.
Why the study?
Does the POSSUM score predict postoperative morbidity and mortality in patients aged 80 or older undergoing gastrointestinal cancer surgery?
Cohort (n=314)
No
Does the POSSUM score predict postoperative morbidity and mortality in patients aged 80 or older undergoing gastrointestinal cancer surgery?
Odds Ratio: 3.401 (95% CI 1.234–9.377)
p-value: p=0.0179
The POSSUM score is a useful preoperative tool for predicting postoperative morbidity and mortality in elderly patients (≥80 years) undergoing gastrointestinal cancer surgery.
May warrant transfusion caution in octogenarian GI cancer surgery; leaves open whether minimization strategies reduce morbidity.
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Igari et al. (2011) conducted a cohort in Gastrointestinal cancer (n=314). Intraoperative blood transfusion vs. No intraoperative blood transfusion was evaluated on Postoperative morbidity (OR 3.401, 95% CI 1.234-9.377, p=0.0179). Intraoperative blood transfusion was a strong independent risk factor for postoperative morbidity (OR 3.401) in patients aged 80 years or older undergoing surgery for gastrointestinal cancer.
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