ArticleWorld journal of gastrointestinal surgery2025
Risk factors and outcomes of intraoperative blood transfusion in elderly patients undergoing gastrointestinal cancer surgery.
Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Individualized Risk Prediction of Medical Postoperative Complications After Oncologic Hepatectomy: A Nomogram-Based Approach.Medical sciences (Basel, Switzerland) · 2025Observational
- Transfusion practice in elderly patients across surgical disciplines in Germany - a secondary data analysis of over 21 million patients.Blood transfusion = Trasfusione del sangueArticle
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6 authors.
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Abstract
backgroundThere is an ongoing debate regarding the relationship between intraoperative blood transfusions and patient outcomes. Unifying the results is difficult because of differences in surgery type, target population and postoperative observation indicators.
aimTo evaluate the risk factors for intraoperative blood transfusion and its impact on postoperative outcomes in elderly gastrointestinal cancer patients.
methodsThis was a retrospective single-center study of elderly patients (≥ 65 years old) who underwent elective abdominal surgery for gastrointestinal cancer with general anesthesia. Patients with chronic kidney disease and missing related data were excluded. The primary outcomes included acute kidney injury (AKI), myocardial injury, and respiratory complications during hospitalization. Multivariate logistic regression was performed to explore the exposure-outcome relationship.
resultsA total of 967 patients were included in this study. A lower preoperative hematocrit level, longer operative time (> 300 minutes) and greater amount of blood loss were observed in 145 (15.0%) patients who received blood transfusions during surgery (
conclusionThese results demonstrate that intraoperative blood transfusion increases the risk of poorer outcomes in elderly patients receiving gastrointestinal cancer surgery. These findings provide new ideas for improving the prognosis of elderly cancer patients.
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