Preoperative anemia and surgical outcomes following laparotomy in a resource-limited setting.
Preoperative anemia and surgical outcomes following laparotomy in a resource-limited setting.
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DOI：
10.1016/j.amjsurg.2020.12.032
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发表时间：
2021-08
影响因子：
3
通讯作者：
Charles A
中科院分区：
文献类型：
--
作者：
Sincavage J;Robinson B;Msosa VJ;Katete C;Purcell LN;Charles A
在撒哈拉以南非洲，贫血是一种常见的、有可能改变的疾病。我们试图确定术前贫血对剖腹手术后腹部并发症的作用。我们在马拉维的一家三级医院进行了一项为期6个月的前瞻性观察性研究，研究对象为年龄>12岁的剖腹手术患者。结局为腹部并发症的发生。Poisson回归分析估计了中度/重度贫血患者腹部并发症的风险。在280例患者中，大多数为男性（76.4%），中位年龄为35岁（IQR 24 - 50）。腹部并发症34例（15.2%）。在224例术前血红蛋白已知的患者中，54例（20.7%）在手术时中度或重度贫血。中重度贫血患者腹部并发症的风险增加（RR 4.44，95% CI 2.0 - 9.6）。贫血是剖腹手术患者中常见但可改变的合并症，并独立增加腹部并发症的风险。
Anemia is a common and potentially modifiable condition in sub-Saharan Africa. We sought to determine the role of preoperative anemia on post laparotomy abdominal complications. We conducted a six-month prospective, observational study of patients age >12 years following laparotomy at a tertiary hospital in Malawi. The outcome was the occurrence of abdominal complications. Poisson regression analyses estimated the risk of abdominal complications in patients with moderate/severe anemia. Of 280 patients, most were male (76.4%) with median age of 35 years (IQR 24 – 50). Abdominal complications developed in 34 patients (15.2%). Of the 224 patients with known preoperative hemoglobin 54 (20.7%) were moderately or severely anemic at the time of surgery. Patients with moderate-to-severe anemia had an increased risk of abdominal complications (RR 4.44, 95% CI 2.0 – 9.6). Anemia is a common but modifiable comorbidity among laparotomy patients and independently increases the risk of abdominal complications.
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DOI：
10.1182/asheducation-2009.1.87
发表时间：
2009
期刊：
Hematology. American Society of Hematology. Education Program
影响因子：
--
作者：
Haldar K;Mohandas N
通讯作者：
Mohandas N
影响因子：
158.5
作者：
LOOAREESUWAN, S;HO, M;WYLER, DJ
通讯作者：
WYLER, DJ
影响因子：
168.9
作者：
Biccard, Bruce M.;Madiba, Thandinkosi E.;Pearse, Rupert M.
通讯作者：
Pearse, Rupert M.
DOI：
10.1016/j.jamcollsurg.2010.09.013
发表时间：
2011-02-01
影响因子：
5.2
作者：
Leichtle, Stefan W.;Mouawad, Nicolas J.;Cleary, Robert K.
通讯作者：
Cleary, Robert K.
影响因子：
9.8
作者：
Fowler, A. J.;Ahmad, T.;Pearse, R. M.
通讯作者：
Pearse, R. M.