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Predictors of Kyei et al for Perioperative Blood Transfusion Following Open Prostatectomy for Benign Prostate Hyperplasia (BPH)

Description

Kyei et al identified factors associated with perioperative transfusion for men undergoing open prostatectomy for benign prostate hyperplasia (BPH) in Ghana. These factors can help to identify a patient who may benefit from interventions to reduce transfusion. The authors are from the University of Ghana.


Indications for prostatectomy:

(1) refractory retention of urine

(2) hematuria due to BPH

(3) lower urinary tract symptoms not amenable to other treatment

(4) BPH with bladder calculi

 

Predictors from multivariate analysis:

(1) preoperative hemoglobin < 11 g/dL

(2) duration of surgery > 90 minutes

 

Correcting anemia prior to surgery and reducing surgical duration may reduce the need for blood transfusion.

 

Additional factors from univariate analysis:

(1) emergency surgery

(2) general anesthesia (versus spinal or epidural)

(3) prostate weight > 100 grams

(4) resident as the operating surgeon


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