Perioperative blood transfusion and complications in children undergoing surgery for solid tumors.

摘要: Abstract Background The objective was to assess whether perioperative blood transfusion (PBT) is associated with postoperative complications in children undergoing surgery for a solid tumor. Methods Using 2012-2014 National Surgical Quality Improvement Program Pediatric data, we identified patients aged 0-18 years who underwent (biopsy or resection) solid tumors. We compared demographic, clinical, and 30-day outcome characteristics between did not receive PBT within 72 hours after surgery. Propensity score–matched analyses were used estimate the effect of on complications, overall cohort, subgroup resection, liver tumors. Results Of 961 tumors, 27.8% required PBT. Patients requiring more likely have preoperative risk factors, including ventilator dependence, hematologic disorders, chemotherapy, sepsis, before surgery, and an American Society Anesthesiologists class ≥3 (all P  ≤ 0.01). In propensity analyses, complication (odds ratio [OR]: 1.50,  = 0.07) but an increased mechanical ventilation (OR: 3.78,  = 0.02). 163 52.8% After matching, 2.00,  = 0.09). longer length stay all three Conclusions higher risks