Emergency Blood Transfusion in Gynecology Cases: A Multicenter Analysis

Purpose:The aim of this study was to determine the indications, usage rates, and complications of emergency and elective blood transfusions in gynecological cases in our country. Methods:A retrospective hospital database analysis was performed on blood transfusion records from eight hospitals.A total of 12,176 gynecological surgery patient files were scanned, and 399 blood transfusions were identified.All patient files were reviewed retrospectively for the demographic variables of the patients, indications and timing of surgeries, surgical outcomes, type and timing of blood transfusion, and any complications of surgeries or blood transfusions.Results: A total of 12,176 gynecological operations were conducted, and 399 (3.27%) blood transfusions were performed.In patients with anemia (hemoglobin <12 g/dL), the number of emergency blood transfusions was 25 (24.2%), and the number of elective blood transfusions was 149 (50.3%).Anemia was significantly more common in the elective blood transfusion group compared to the emergency group (p<0.05).The incidence of thrombocytopenia, massive transfusion, and fresh frozen plasma use were significantly higher in the emergency transfusion group compared to the elective group (p0.05). Conclusion:In this study, emergency and elective blood transfusion practices in gynecological surgery were examined.Our findings contribute to the existing literature by providing data on blood transfusion frequencies, indications, and complications.In particular, emergency cases showed a higher incidence of thrombocytopenia and massive transfusion, highlighting the importance of blood product management and planning in emergency settings.