1. Sickle Cell Disease is Associated with Increased Morbidity, Resource Utilization, and Readmissions after Common Abdominal Surgeries: A Multistate Analysis, 2007-2014.
- Author
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Brumm J, White RS, Arroyo NS, Gaber-Baylis LK, Gupta S, Turnbull ZA, and Mehta N
- Subjects
- Adult, Appendectomy statistics & numerical data, Blood Transfusion statistics & numerical data, Cholecystectomy statistics & numerical data, Female, Hospital Costs statistics & numerical data, Humans, Hysterectomy statistics & numerical data, Length of Stay statistics & numerical data, Male, Outcome Assessment, Health Care, Patient Readmission statistics & numerical data, Reoperation statistics & numerical data, Risk Factors, United States epidemiology, Anemia, Sickle Cell diagnosis, Anemia, Sickle Cell epidemiology, Appendectomy adverse effects, Cholecystectomy adverse effects, Hysterectomy adverse effects, Postoperative Complications blood, Postoperative Complications epidemiology, Postoperative Complications therapy, Risk Adjustment methods
- Abstract
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., Competing Interests: Conflict of Interest None., (Copyright © 2020 National Medical Association. Published by Elsevier Inc. All rights reserved.)
- Published
- 2020
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