[Analysis of transfusion in kidney surgery].
OBJECTIVE
To analyze the likelihood of perioperative transfusion in patients undergoing renal surgery.


METHODS
The records of all patients who had undergone renal surgery in 1996 were reviewed. The abstracted patient discharge records, encoded according to the ICD-9-CM, were analyzed for gender, age, diagnosis, surgical and non-surgical procedures including transfusions of blood products.


RESULTS
21 (23.3%) of 90 patients who had undergone renal surgery required transfusion. By univariate analysis, the incidence of transfusion was statistically significantly higher in patients with chronic nephropathy, patients undergoing total nephrectomy and renal transplantation, and those having a greater number of ICD-9-CM diagnosis codes (indirect indicator of the clinical severity and comorbidity). By multivariate logistic regression analysis, the surgical procedure was found to be the only predictive factor for blood transfusion (p = 0.013). The main diagnosis, number of diagnosis codes, gender, number of surgical techniques and age were not found to be predictors of transfusion.


CONCLUSIONS
Our data show that of the variables analyzed, the surgical procedure is the only predictive factor of the likelihood of requiring blood transfusion.
Pinto García
V
V
Banco de Sangre del Hospital General, Hospital Central de Asturias, Oviedo, Asturias, España. pinto@arrakis.es
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001803:Blood Transfusion; D005260:Female; D006801:Humans; D007668:Kidney / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care / Q000379:methods*; D012737:Sex Factors
Análisis de la transfusión en la cirugía renal.