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The researchers identified patients who had received a blood transfusion during the perioperative period and compared with those who had not. The subsequent factors associated with blood transfusion were examined: hospital characteristics (type of admission and payer, patient demographics (age and race), bed size, teaching status, location, and region of hospital), length of stay (LOS), total charges during hospitalization, in-hospital mortality, comorbidities, and perioperative complications. The data was analyzed using descriptive statistics. The independent risk factors of perioperative blood transfusion after TLH was identified by performing multivariate logistic regression.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 79,933 TLH were captured from the NIS database, among which 3433 (4.40%) patients received a perioperative blood transfusion. TLH patients affected by blood transfusion were 2\u2009days longer hospital stays (<jats:italic>P\u2009&lt;\u20090.001<\/jats:italic>), higher overall costs (<jats:italic>P\u2009&lt;\u20090.001<\/jats:italic>), the patients who received a transfusion after a long-term hospitalization had a significantly higher rate of mortality (0.5% vs. 0.1%; <jats:italic>P\u2009&lt;<\/jats:italic>\u00a00.001). Perioperative blood transfusion after TLH was associated with chronic blood loss anemia, deficiency anemia, coagulopathy, congestive heart failure, fluid and electrolyte disorders, renal failure, metastatic cancer, sepsis, weight loss, deep vein thrombosis, gastrointestinal hemorrhage, shock, acute myocardial infarction, and pneumonia, stroke, hemorrhage, pulmonary embolism, and disease of the genitourinary system.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Studying the risk factors of perioperative blood transfusion after TLH is advantageous in order to ensure proper management and optimize outcomes.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12905-024-02908-4","type":"journal-article","created":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T14:25:02Z","timestamp":1706106302000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Risk factors for perioperative blood transfusion in patients undergoing total laparoscopic hysterectomy"],"prefix":"10.1186","volume":"24","author":[{"given":"Xianghua","family":"Cao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueliang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingxing","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kefang","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qinfeng","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueping","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,24]]},"reference":[{"issue":"6","key":"2908_CR1","doi-asserted-by":"publisher","first-page":"629.e1","DOI":"10.1016\/j.ajog.2019.07.018","volume":"221","author":"A Murji","year":"2019","unstructured":"Murji A, Lam M, Allen B, et al. 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Administrative permissions were required to access the raw data used in this study and the corresponding author\u2019s (Xueping Li) work unit (Department of Anesthesiology, Dongguan Tungwah hospital, Dongguan, China.) has already granted permission from Agency for Healthcare Research and Quality (AHRQ) to access Healthcare Cost and Utilization Project (HCUP) Nationwide Databases. However, this observational study used identified publicly available data, hence there was no requirement for consent to participate and it was deemed exempt by the ethics committee. So there is no need to grant permission in the Ethics approval and consent to participate section. What is more, the data used in this study were no need anonymized before its use. All methods are carried out following relevant guidelines and regulations. The data used in this study were not need anonymized before its use.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"65"}}