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Postoperative complications among dialysis-requiring patients undergoing splenectomy.
- Source :
-
Langenbeck's Archives of Surgery . 8/6/2024, Vol. 409 Issue 1, p1-9. 9p. - Publication Year :
- 2024
-
Abstract
- Background: Dialysis patients are at high risk for surgery, but their outcomes after splenectomy are unclear. We compared postoperative complications between dialysis and non-dialysis patients. Methods: Data were retrieved from the National Surgical Quality Improvement Program for this retrospective cohort. Adult patients undergoing elective splenectomy between 2005 and 2020 were included. Results: Among 10,339 included patients, 143(1.4%) were on chronic dialysis. Postoperative mortality was higher in dialysis vs. non-dialysis patients (9.1% vs. 1.8%). Dialysis patients were more likely to have 30-day major morbidity, infectious and non-infectious complications, reoperation, and prolonged hospital stay. On multivariable regression, dialysis dependence significantly increased odds of mortality, major morbidity, blood transfusion, prolonged length of stay, reoperation, and failure-to-rescue (FTR). Conclusion: Dialysis patients were at higher risk of postoperative morbidity following splenectomy. Additionally, the risk of FTR in this patient population is also significantly more compared to non-dialysis patients. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 14352443
- Volume :
- 409
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Langenbeck's Archives of Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 178858497
- Full Text :
- https://doi.org/10.1007/s00423-024-03434-5