Key result
Preoperative anemia in patients undergoing gynecological oncology surgery was associated with significantly higher postoperative red blood cell transfusion rates (44% versus 11%, p < 0.0001).
Why the study?
Preoperative anemia is increasingly recognized as a risk factor for poor perioperative outcomes, but its frequency, associated iron deficiency, and impact on transfusions warranted attention in gynecological oncology procedures.
Does preoperative anemia increase blood transfusions and length of stay in patients undergoing gynecological oncology procedures?
Observational (n=284)
No
Does preoperative anemia increase blood transfusions and length of stay in patients undergoing gynecological oncology procedures?
Absolute Event Rate: 44% vs 11%
p-value: p=<0.0001
Preoperative anemia in gynecological oncology surgery is associated with increased blood transfusions and longer hospital stays, highlighting the need for early identification and treatment.
Preoperative anemia screening may identify higher-risk gynecologic oncology patients; hypothesis-generating for optimization trials before practice change.
Preoperative anemia is progressively being recognized as a risk factor for poor perioperative outcomes including increased length of hospital stay and increased blood transfusions. The growth in prevalence of preoperative anemia in patients undergoing gynecological oncology procedures warrants greater attention to early identification for optimal surgical outcomes. This was a quantitative retrospective observational study consisting of 284 patients undergoing gynecological oncology procedures. The study sought to determine the frequency of anemia, iron deficiency and the effect of anemia on the number of blood transfusions from January 1 to December 31, 2014. Patients with anemia had significantly higher transfusion rates (44% versus 11%, p < 0.0001), considerably higher number of units transfused per patient (mean 1.19 units versus 0.28 units, p < 0.0001) and longer length of stays post-operatively (mean 5.9 days versus 4.6 days, p=0.0008). It was concluded that early identification and treatment of anemia is a key opportunity to optimized surgical outcomes.
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Jadunandan et al. (2022) conducted an observational in Gynecological oncology (n=284). Preoperative anemia vs. No preoperative anemia was evaluated on Red blood cell transfusion rate (p=<0.0001). Preoperative anemia in patients undergoing gynecological oncology surgery was associated with significantly higher postoperative red blood cell transfusion rates (44% versus 11%, p < 0.0001).
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