Impact of perioperative transfusion in patients undergoing resection of colorectal cancer liver metastases: A population-based study.


BACKGROUND:Perioperative allogeneic blood transfusion is associated with poorer outcomes. AIM:To identify the factors that were associated with perioperative transfusion and to examine the impact of perioperative transfusion in patients undergoing resection of colorectal cancer (CRC) liver metastases. METHODS:The United States National Inpatient Sample (NIS) database was searched for patients with CRC who received surgery for liver metastasis. Linear and logistic regression analyses were performed. RESULTS:A total of 2018 patients were included, and 480 had a perioperative transfusion. Emergency admission (adjusted odds ratio [aOR] = 1.42; 95%CI: 1.07-1.87), hepatic lobectomy (aOR = 1.76; 95%CI: 1.42-2.19), and chronic anemia (aOR = 2.62; 95%CI: 2.04-3.35) were associated with increased chances of receiving a transfusion, but receiving surgery at a teaching hospital (aOR = 0.75; 95%CI: 0.58-0.98) was associated with a decreased chance of receiving a transfusion. Receiving a perioperative transfusion was significantly associated with increased in-hospital mortality (aOR = 3.38; 95%CI: 1.57-7.25), and increased overall postoperative complications (aOR = 1.67; 95%CI: 1.31-2.13), as well as longer length of hospital stay. CONCLUSION:Patients with an emergency admission, hepatic lobectomy, chronic anemia, and who have surgery at a non-teaching hospital are more likely to receive a perioperative transfusion. Patients with CRC undergoing surgery for hepatic metastases who receive a perioperative transfusion are at a higher risk of in-hospital mortality, postoperative complications, and longer length of hospital stay.


World J Clin Cases


Long B,Xiao ZN,Shang LH,Pan BY,Chai J




Has Abstract


2019-05-26 00:00:00










  • Leiomyosarcoma of the stomach: A case report.

    abstract:BACKGROUND:Leiomyosarcoma of the stomach is extremely rare, and only 13 cases have been reported in the literature. Before the advent of KIT immunohistochemistry, gastrointestinal stromal tumors (GISTs) were misdiagnosed as leiomyomas and leiomyosarcomas. Leiomyosarcoma rarely occurs in organs besides the uterus and is...

    journal_title:World journal of clinical cases



    authors: Kang WZ,Xue LY,Tian YT

    更新日期:2019-11-06 00:00:00

  • Primary chondrosarcoma of the liver: A case report.

    abstract:BACKGROUND:Primary chondrosarcoma of the liver are extremely rare. Moreover, there are few reports focusing on typical clinical symptoms and imaging characteristics. Therefore, the diagnosis of chondrosarcoma of the liver remains a challenge. CASE SUMMARY:A 59-year-old male was admitted due to a lesion occupying the r...

    journal_title:World journal of clinical cases



    authors: Liu ZY,Jin XM,Yan GH,Jin GY

    更新日期:2020-10-26 00:00:00

  • Kidney inflammatory myofibroblastic tumor masquerading as metastatic malignancy: A case report and literature review.

    abstract:BACKGROUND:Inflammatory myofibroblastic tumor (IMT) is a rare mesenchymal tumor that is characterized by spindle cells differentiated from muscle fibroblasts and infiltration of various types of inflammatory cells. IMT can occur at any age and at any anatomic site. The most common location of IMT is the bladder in the ...

    journal_title:World journal of clinical cases



    authors: Zhang GH,Guo XY,Liang GZ,Wang Q

    更新日期:2019-12-26 00:00:00

  • Sinusoidal obstruction syndrome: A systematic review of etiologies, clinical symptoms, and magnetic resonance imaging features.

    abstract:BACKGROUND:Sinusoidal obstruction syndrome (SOS) is a kind of rare liver disease which is characterized by damage to small hepatic vessels, affecting particularly the sinusoidal endothelium. Due to the special etiology and high mortality, early diagnosis of SOS is significant for clinical survival and prognosis. AIM:T...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Zhang Y,Jiang HY,Wei Y,Song B

    更新日期:2019-09-26 00:00:00

  • Challenging rescue of a 4 years old boy with H1N1 infection by extracorporeal membrane oxygenator: A case report.

    abstract:INTRODUCTION:World Health Organization announced on April 2009 a public health emergency of international concern caused by swine-origin influenza A (H1N1) virus. Acute respiratory distress syndrome (ARDS) has been reported to be the most devastating complications of this pathogen. Extracorporeal membrane oxygenator (E...

    journal_title:World journal of clinical cases



    authors: Papadopoulos N,Martens S,Keller H,El-Sayed Ahmad A,Moritz A,Zierer A

    更新日期:2014-10-16 00:00:00

  • Safety of fecal microbiota transplantation in Chinese children: A single-center retrospective study.

    abstract:BACKGROUND:Fecal microbiota transplantation (FMT) is the administration of fecal bacterial liquid from healthy donors to a recipient's digestive tract, which is recommended as a therapeutic method for recurrent Clostridium difficile infection (CDI). Many clinical trials focusing on different diseases are in progress. T...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Zhang XY,Wang YZ,Li XL,Hu H,Liu HF,Li D,Xiao YM,Zhang T

    更新日期:2018-12-26 00:00:00

  • Tattooing: A potential novel risk factor for iliopsoas abscess.

    abstract::Iliopsoas abscess (IPA) is an uncommon infection. The clinical presentation is usually insidious. Most patients present with nonspecific symptoms, leading to difficulty in prompt and accurate diagnosis. Delay in diagnosis can lead to complications, such as sepsis and death. Tattooing has become more popular over the r...

    journal_title:World journal of clinical cases



    authors: Gulati S,Jain A,Sattari M

    更新日期:2014-09-16 00:00:00

  • Relationship between homocysteine level and prognosis of elderly patients with acute ischemic stroke treated by thrombolysis with recombinant tissue plasminogen activator.

    abstract:BACKGROUND:Acute ischemic stroke (AIS) is mainly caused by cerebral blood flow disorders, which further leads to ischemic brain necrosis or encephalomalacia. The role of homocysteine (Hcy), an independent risk factor for cardiovascular disease, in the development of atherosclerosis is gradually revealed. However, studi...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Li J,Zhou F,Wu FX

    更新日期:2019-11-26 00:00:00

  • Prosthodontic management of hemimandibulectomy patients to restore form and function - A case series.

    abstract::Surgical resection of mandible owing to benign, malignant neoplasm, osteoradionecrosis is common. The resection can be total or segmental depending on the lesion. Loss of mandibular continuity causes deviation of remaining mandibular segment towards the resected side and rotation inferiorly due to muscle pull and scar...

    journal_title:World journal of clinical cases



    authors: Lingeshwar D,Appadurai R,Sswedheni U,Padmaja C

    更新日期:2017-10-16 00:00:00

  • New device to implement the adenoma detection rate.

    abstract::It is well-known that colonoscopy is considered the gold standard for colon cancer prevention. Although performed by experienced endoscopists, the matter remains of polyps missed during this examination. The reasons may include the size, shape and location of the lesions. Many colorectal cancer screening programs have...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章,评审


    authors: Zippi M,Hong W,Crispino P,Traversa G

    更新日期:2017-07-16 00:00:00

  • Rescue treatment and follow-up intervention of a left main acute myocardial infarction with typical carina shift under 3D optical coherence tomography: A case report.

    abstract:BACKGROUND:Coronary intervention for bifurcation lesions is still challenging for interventional cardiologists. Left main (LM) bifurcation lesions have a higher risk due to the vast blood supply in this area and treatment choice is difficult. Ostial compromise of the side branch decreases patient prognosis, and its man...

    journal_title:World journal of clinical cases



    authors: Du BB,Tong YL,Wang XT,Liu GH,Liu K,Yang P,He YQ

    更新日期:2020-02-26 00:00:00

  • Human herpesvirus-8 positive iatrogenic Kaposi's sarcoma in the setting of refractory ulcerative colitis.

    abstract::Although Kaposi sarcoma (KS) has been more traditionally considered an AIDS-defining illness, it may also be seen in individuals on immunosuppresive therapy. We report a case of a patient who presented to the hospital in the setting of increasingly refractory ulcerative colitis. Computed tomography scan of the abdomen...

    journal_title:World journal of clinical cases



    authors: Duh E,Fine S

    更新日期:2017-12-16 00:00:00

  • Nutritional deficiencies in the pediatric age group in a multicultural developed country, Israel.

    abstract::Nutrient deficiencies are prevalent worldwide. Diseases and morbid conditions have been described to result from nutritional deficiencies. It is essential to address nutrient deficiencies as these may lead to chronic long-term health problems such as rickets, iron deficiency anemia, goiter, obesity, coronary heart dis...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章,评审


    authors: Haimi M,Lerner A

    更新日期:2014-05-16 00:00:00

  • Indolent lung opacity: Ten years follow-up of pulmonary inflammatory pseudo-tumor.

    abstract::Inflammatory pseudotumor (IPT) has always been considered a diagnostic challenge. Its rarity and resemblance to other more common pathological entities imposes that neither clinical nor radiological characteristics can lead to a definitive diagnosis. The surgical excision of the lesion is the ultimate approach for acc...

    journal_title:World journal of clinical cases



    authors: Degheili JA,Kanj NA,Koubaissi SA,Nasser MJ

    更新日期:2017-02-16 00:00:00

  • Relapsing polychondritis with p-ANCA associated vasculitis: Which triggers the other?

    abstract::Relapsing polychondritis (RP) is a rare autoimmune disease with chronic inflammatory/destructive lesions of the cartilaginous tissues. In one third of the cases it is associated with other autoimmune disorders, mostly with anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitis (AAV). We report three cases o...

    journal_title:World journal of clinical cases



    authors: File I,Trinn C,Mátyus Z,Ujhelyi L,Balla J,Mátyus J

    更新日期:2014-12-16 00:00:00

  • Gene testing for osteonecrosis of the femoral head in systemic lupus erythematosus using targeted next-generation sequencing: A pilot study.

    abstract:BACKGROUND:Previous publications indicated that genetic predisposition might play important roles in the onset of osteonecrosis of the femoral head (ONFH) in systemic lupus erythematosus (SLE). Some gene loci such as complement C3d receptor 2 (CR2), nitric oxide synthase 3 (NOS3), collagen type II alpha 1 chain (COL2A1...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Sun HS,Yang QR,Bai YY,Hu NW,Liu DX,Qin CY

    更新日期:2020-06-26 00:00:00

  • Multiple ectopic goiter in the retroperitoneum, abdominal wall, liver, and diaphragm: A case report and review of literature.

    abstract:BACKGROUND:Ectopic thyroid is a rare developmental disorder, typically found in lingual areas, and most distantly in the abdomen. Thyroid ectopia in multiple regions is extremely rare. To date, there are no reports of ectopic goiter in four regions of the abdominal cavity in a single patient. CASE SUMMARY:We present a...

    journal_title:World journal of clinical cases



    authors: Qin LH,He FY,Liao JY

    更新日期:2020-12-06 00:00:00

  • High expression of squamous cell carcinoma antigen in poorly differentiated adenocarcinoma of the stomach: A case report.

    abstract:BACKGROUND:Squamous cell carcinoma antigen (SCCA) is regarded as a specific indicator of epithelial malignancies and is widely used in the diagnosis of squamous cell carcinoma (SCC). However, the expression of SCCA in gastric adenocarcinoma has not been studied in detail. CASE SUMMARY:A 52-year-old man was admitted to...

    journal_title:World journal of clinical cases



    authors: Wang L,Huang L,Xi L,Zhang SC,Zhang JX

    更新日期:2020-10-06 00:00:00

  • Treatment of afferent loop syndrome using fluoroscopic-guided nasointestinal tube placement: Two case reports.

    abstract:BACKGROUND:Afferent loop syndrome (ALS) is a rare mechanical complication that occurs after reconstruction of the stomach or esophagus to the jejunum, such as Billroth II gastrojejunostomy, Roux-en-Y gastrojejunostomy, or Roux-en-Y esophagoje-junostomy. Traditionally, an operation is the first choice for benign causes....

    journal_title:World journal of clinical cases



    authors: Hu HT,Ma FH,Wu ZM,Qi XH,Zhong YX,Xie YB,Tian YT

    更新日期:2020-11-06 00:00:00

  • Sweet syndrome as a paraneoplastic manifestation of cholangiocarcinoma: A case report.

    abstract:BACKGROUND:Sweet's syndrome, also known as acute febrile neutrophilic dermatosis, is a rare skin disorder that may be associated with cancer. CASE SUMMARY:A 58-year-old female presented with a cholestatic syndrome and significant weight loss three months before admission. Five months earlier, she had abruptly develope...

    journal_title:World journal of clinical cases



    authors: Lemaire CC,Portilho ALC,Pinheiro LV,Vivas RA,Britto M,Montenegro M,Rodrigues LFF,Arruda S,Lyra AC,Cavalcante LN

    更新日期:2020-09-26 00:00:00

  • Spontaneous multivessel coronary artery spasm diagnosed with intravascular ultrasound imaging: A case report.

    abstract:BACKGROUND:Coronary artery spasm is a major cause of myocardial ischemia. Although coronary artery spasm has been known for a long time, its mechanism has not yet been identified. Many clinicians, especially young clinicians pay less attention to coronary artery spasm, which may lead to some patients not being appropri...

    journal_title:World journal of clinical cases



    authors: Wu HY,Cao YW,Chang FJ,Liang L

    更新日期:2020-08-26 00:00:00

  • Macrophage regulation of graft-vs-host disease.

    abstract::Hematopoietic stem cell transplantation has become a curative choice of many hematopoietic malignancy, but graft-vs-host disease (GVHD) has limited the survival quality and overall survival of hematopoietic stem cell transplantation. Understanding of the immune cells' reaction in pathophysiology of GVHD has improved, ...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章,评审


    authors: Hong YQ,Wan B,Li XF

    更新日期:2020-05-26 00:00:00

  • Proliferative verrucous leukoplakia may initially mimic lichenoid reactions.

    abstract::Proliferative verrucous leukoplakia is an intriguing disease, which occurs particularly in women aged greater than 60 years, is not associated with tobacco and alcohol, and has a high risk of recurrence and malignant transformation. Although it is well known that the typical presentation is characterized by multifocal...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Lopes MA,Feio P,Santos-Silva AR,Vargas PA

    更新日期:2015-10-16 00:00:00

  • Differential diagnosis of a vanishing brain space occupying lesion in a child.

    abstract::We describe clinical, diagnostic features and follow up of a patient with a vanishing brain lesion. A 14-year-old child admitted to the department of Neurology at September 2009 with a history of subacute onset of fever, anorexia, vomiting, blurring of vision and right hemiparesis since one month. Magnetic resonance i...

    journal_title:World journal of clinical cases



    authors: Hamed SA,Mekkawy MA,Abozaid H

    更新日期:2015-11-16 00:00:00

  • Can cyclin-dependent kinase 4/6 inhibitors convert inoperable breast cancer relapse to operability? A case report.

    abstract:BACKGROUND:Pathological complete response (pCR) is rare in hormone receptor-positive (HR+) HER2-negative breast cancer (BC) treated with either endocrine therapy (ET) or chemotherapy. Radical resection of locoregional relapse, although potentially curative in some cases, is challenging when the tumor invades critical s...

    journal_title:World journal of clinical cases



    authors: Palleschi M,Maltoni R,Barzotti E,Melegari E,Curcio A,Cecconetto L,Sarti S,Manunta S,Rocca A

    更新日期:2020-02-06 00:00:00

  • Novel frameshift mutation in the SACS gene causing spastic ataxia of charlevoix-saguenay in a consanguineous family from the Arabian Peninsula: A case report and review of literature.

    abstract:BACKGROUND:Familial cases of autosomal recessive spastic ataxia of charlevoix-saguenay have not been reported in the Arabian Peninsula, although the consanguineous marriage rate is very high. We report the first family from the Arabian Peninsula harboring a novel frameshift mutation in the SACS gene. CASE SUMMARY:A 33...

    journal_title:World journal of clinical cases



    authors: Al-Ajmi A,Shamsah S,Janicijevic A,Williams M,Al-Mulla F

    更新日期:2020-04-26 00:00:00

  • Diagnostic-therapeutic management of bile duct cancer.

    abstract::Biliary tract cancer, or cholangiocarcinoma, comprises a heterogeneous group of malignant tumors that can emerge at any part of the biliary tree. This group is the second most common type of primary liver cancer. Diagnosis is usually based on symptoms, which may be heterogeneous, and nonspecific biomarkers in serum an...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章,评审


    authors: Huguet JM,Lobo M,Labrador JM,Boix C,Albert C,Ferrer-Barceló L,Durá AB,Suárez P,Iranzo I,Gil-Raga M,de Burgos CB,Sempere J

    更新日期:2019-07-26 00:00:00

  • Homozygous factor V Leiden mutation in type IV Ehlers-Danlos patient.

    abstract::Ehlers-Danlos syndrome (EDS) is a group of inherited connective tissue disorders caused by collagen synthesis defects. Several hemostatic abnormalities have been described in EDS patients that increase the bleeding tendencies of these patients. This case report illustrates a patient with an unusual presentation of a p...

    journal_title:World journal of clinical cases



    authors: Refaat M,Hotait M,Winston B

    更新日期:2014-03-16 00:00:00

  • Gut microbiota and inflammatory bowel disease: The current status and perspectives.

    abstract::Inflammatory bowel disease (IBD) is a chronic immune-mediated disease that affects the gastrointestinal tract. It is argued that environment, microbiome, and immune-mediated factors interact in a genetically susceptible host to trigger IBD. Recently, there has been increased interest in the development, progression, a...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章,评审


    authors: Zheng L,Wen XL

    更新日期:2021-01-16 00:00:00

  • Late-onset non-islet cell tumor hypoglycemia: A case report.

    abstract:BACKGROUND:Hypoglycemia due to non-insulin-producing tumors is referred to as non-islet cell tumor hypoglycemia (NICTH). As NICTH is a rare lesion, the natural course of NICTH is not well understood. We report a case of NICTH that was observed 30 years before the onset of hypoglycemia. CASE SUMMARY:A 50-year-old man w...

    journal_title:World journal of clinical cases



    authors: Matsumoto S,Yamada E,Nakajima Y,Yamaguchi N,Okamura T,Yajima T,Yoshino S,Horiguchi K,Ishida E,Yoshikawa M,Nagaoka J,Sekiguchi S,Sue M,Okada S,Fukuda I,Shirabe K,Yamada M

    更新日期:2021-01-06 00:00:00