Sickle Cell Disease is Associated with Increased Morbidity, Resource Utilization, and Readmissions after Common Abdominal Surgeries: A Multistate Analysis, 2007–2014
Autor: | Rob White, Soham Gupta, Noelle S. Arroyo, Neel Mehta, Licia K. Gaber-Baylis, John Brumm, Zachary A. Turnbull |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male Reoperation medicine.medical_specialty Blood transfusion medicine.medical_treatment Anemia Sickle Cell Hysterectomy Patient Readmission 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors Outcome Assessment Health Care medicine Appendectomy Humans Blood Transfusion Cholecystectomy 030212 general & internal medicine Hospital Costs 030505 public health business.industry Retrospective cohort study General Medicine Perioperative Length of Stay medicine.disease United States Sickle cell anemia Hemoglobinopathy Emergency medicine Female Risk Adjustment Outcomes research 0305 other medical science business Abdominal surgery |
Zdroj: | Journal of the National Medical Association. 112:198-208 |
ISSN: | 0027-9684 |
DOI: | 10.1016/j.jnma.2020.01.001 |
Popis: | Introduction Sickle cell disease (SCD), the most commonly inherited hemoglobinopathy in the United States, increases the likelihood of postoperative complications, resulting in higher costs and readmissions. We used a retrospective cohort study to explore SCD’s influence on postoperative complications and readmissions after cholecystectomy, appendectomy, and hysterectomy. Methods We used an administrative database’s 2007-2014 data from California, Florida, New York, Maryland, and Kentucky. Results 1,934,562 patients aged ≥18 years were included. Compared to non-SCD patients, SCD patients experienced worse outcomes: increased odds of blood transfusion and major and minor complications, higher adjusted odds of 30- and 90-day readmissions, longer length of stay, and higher total hospital charges. Conclusion Sickle cell disease patients are at high risk for poor outcomes based on their demographic characteristics. Therefore, perioperative physicians including hematologists, anesthesiologists, and surgeons need to take this knowledge into consideration for management and counselling of SCD patients on the risks of surgery and recovery. |
Databáze: | OpenAIRE |
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