International Normalized Ratio (INR) Is Comparable to MELD in Predicting Mortality after Cholecystectomy
| Autor: | Sarah E, Rudasill, Benjamin, DiPardo, Yas, Sanaiha, Alexandra L, Mardock, Mario, Cale, James W, Antonios, Habib, Khoury, Peyman, Benharash |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Analysis of Variance Age Factors Middle Aged Postoperative Hemorrhage Risk Assessment End Stage Liver Disease Logistic Models Cholecystectomy Laparoscopic Predictive Value of Tests Hypertension Diabetes Mellitus Humans Cholecystectomy Female International Normalized Ratio Retrospective Studies |
| Zdroj: | The American surgeon. 85(10) |
| ISSN: | 1555-9823 |
| Popis: | Guidelines suggest targeting a preoperative international normalized ratio (INR)1.5. We examined and compared the predictive value of INR relative to the Model for End-Stage Liver Disease (MELD). We reviewed the American College of Surgeons NSQIP from 2005 to 2016 for adult patients undergoing open or laparoscopic cholecystectomy. Patients with a preoperative INR were stratified into groups: ≤1,1 to ≤1.5,1.5 to ≤2, and2. Thirty day postoperative mortality was the primary outcome. Multivariable logistic regressions controlled for baseline differences. Of 58,177 cholecystectomy patients, 15.2 per cent had INR ≤ 1, 80.4 per cent had INR1 to ≤1.5, 3.7 per cent had INR1.5 to ≤2, and 0.7 per cent had INR2. Patients with INR2 were older and more likely to have diabetes and hypertension ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|