Periioperative blood transfusion and albumin administration are independent risk factors for the developometn of postoperative infections after colorectal surgery

To determine whether transfused colorectal surgery patients were at increased risk for postoperative infections in a tertiary care teaching hospital and whether transfusion alone was the only significant risk factor. A retrospective study. A single tertiary care teaching hospital. All patients admit...

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Bibliographic Details
Published in:Canadian Journal of Surgery 2000-06, Vol.43 (3), p.212
Main Authors: Torchia, Mark G, Danzinger, Rudy G
Format: Article
Language:English
Subjects:
Blood donation & transfusion
Causes
Colorectal surgery
Infections
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Summary:To determine whether transfused colorectal surgery patients were at increased risk for postoperative infections in a tertiary care teaching hospital and whether transfusion alone was the only significant risk factor. A retrospective study. A single tertiary care teaching hospital. All patients admitted to St. Boniface General Hospital, Winnipeg, for colorectal surgery during the period Apr. 1, 1995, through Mar. 31, 1996, were studied (N = 154). The overall infection rate was 17%: nontransfused patients, 13%, and transfused patients, 28% (p < 0.038). Patients who received albumin perioperatively had a significantly higher infection rate (38%) than those who did not (13%) (p < 0.001). Stepwise logistic regression analysis identified transfusion and albumin administration as the only independent risk factors for postoperative infection. Perioperative transfusion or albumin administration significantly increases the risk of postoperative infection in colorectal surgery patients.
ISSN:0008-428X
1488-2310