Risk Factors for Blood Transfusion in Women Undergoing Hysterectomy for Benign Disease

Abstract

Abstract Objective: The purpose of this study was to identify risk factors associated with transfusion in women undergoing hysterectomy for benign disease. Methods: A retrospective chart review of women undergoing hysterectomy between June 2007 and July 2009 was conducted. Demographic data, pre- and postoperative hemoglobin (g/dL) values, surgical indication, estimated blood loss (EBL), route of hysterectomy, uterine weight, and perioperative complications were recorded from a departmental surgical database and electronic medical records. A logistic regression analysis was performed to identify independent risk factors for intra- and postoperative blood transfusion. Results: A total of 377 women were included. The overall rate of transfusion was 6.6%. On univariate analysis, the transfusion group had a significantly lower mean age (41.7 versus 44.8, p=0.03), lower pre- (9.28 versus 12.1, p<0.00) and postoperative hemoglobin value (7.1 versus 10.2, p<0.001), higher EBL (870 mL versus 289 mL, p<0.001), and ...