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Predictors of Blood Transfusion Following Percutaneous Nephrolithotomy: A Systematic Review and Meta-analysis Aldwin Arifin; Nur Rasyid; Ponco Birowo; Widi Atmoko
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.721

Abstract

Percutaneous nephrolithotomy (PCNL) is the standard treatment for large renal calculi, yet clinically significant hemorrhage necessitating transfusion remains a critical perioperative challenge. This PRISMA-guided systematic review and meta-analysis aimed to consolidate the evidence on predictors of blood transfusion or severe bleeding after PCNL. Pooled analyses identified diabetes mellitus, hypertension, urinary tract infection, renal anomalies, multiple or staghorn stones, solitary kidney phenotype, multiple access tracts, larger stone size, and longer operative time as significant risk factors. Notably, hydronephrosis demonstrated an inverse association. In conclusion, post-PCNL bleeding requiring transfusion is best conceptualized as a three-domain risk paradigm: patient susceptibility, stone complexity, and procedural intensity.
Co-Authors Abdul Aziz Rani Achmad Fauzi Adianti Khadijah, Adianti Agi Satria Putranto Agung Susanto Agus Rizal Ardy Hariandy Hamid, Agus Rizal Ardy Hariandy Akmal Taher Albertus Marcelino Aldwin Arifin Alfarissi, Fekhaza Ali Husein Ari Astram, Ari Ari Basukarno, Ari Ari Fahrial Syam Arief Hakiki Arry Rodjani Arry Rodjani Asmarinah Bagus Baskoro Bimanggono Hernowo Murti Bimanggono Hernowo Murti, Bimanggono Hernowo Brodjonegoro, Sakti R Budi Wiweko C Susilo, C Chaidir A. Mochtar Chaidir Arif Mochtar CHAIDIR MOCHTAR, CHAIDIR charles johanes, charles Chudahman Manan Dadang Makmun Daldiyono Daldiyono Danarto, Raden Devintha Tiza Ariani donny eka putra, donny eka Dyandra Parikesit, Dyandra Endang Susalit Endrika Noviandrini, Endrika Fajriani, Rosalina Fakhri Rahman Fakhri Rahman, Fakhri Febriyani Ferry Safriadi Fiastuti Witjaksono Gerhard Reinaldi Situmorang, Gerhard Reinaldi Harahap, Alida Roswita Hariwibowo, Rinto Harrina E. Rahardjo Hendri, Ahmad Z Hernawan Rahmat Muharia, Bayu Hery Tiera I Putu Gde Sanjaya, I Putu Ikhlas A. Bramono, Ikhlas A. Ina Nuryana, Ina Indah S. Widyahening Indrawarman Soeroharjo Irfan Wahyudi Isaac A. Deswanto, Isaac A. Islianti, Putri Iradita Ivan Rizal Sini, Ivan Rizal Marcellus Simadibrata K Maruhum B.H. Marbun Mewahyu Dewi, Mewahyu Michelle Eva Muhammad Hilmy Labibi Murdani Abdullah Namira Kesuma Jelita Nuhung, Mahmud Pakpahan, Karimul Abdi Pande Made Wisnu Tirtayasa Ponco Birowo Prahara Yuri Prasetyo Sarwono Putro Prasetyo, Dimas Tri Pryambodho Pudji Sari Puji Sari Putra, Donny E. Rainy Umbas Rama Firmanto, Rama Retno Asti Werdhani Savira, Missy Savitri, Ary Indriana Setya Anton Tusarawardaya Siti Setiati Soeroto, Adhitama A. Suharto Wijanarko Syaeful Agung Wibowo Tommie Prasetyo Tommie Prasetyo, Tommie Tri Endah Suprabawati Tri Prasetyo, Dimas Uiterwaal, Cuno Vinny Verdini Wibisono Widi Atmoko Widi Atmoko Widyasmara, Her Bayu Wistara, Sevita Sathya Yopie Tjandradiguna Satyawan Zulfikar Ali Zulfikar Ali, Zulfikar