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Sickle Cell Disease is Associated with Increased Morbidity, Resource Utilization, and Readmissions after Common Abdominal Surgeries: A Multistate Analysis, 2007-2014.
- Source :
-
Journal of the National Medical Association [J Natl Med Assoc] 2020 Apr; Vol. 112 (2), pp. 198-208. Date of Electronic Publication: 2020 Feb 20. - Publication Year :
- 2020
-
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.<br />Methods: We used an administrative database's 2007-2014 data from California, Florida, New York, Maryland, and Kentucky.<br />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.<br />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.<br />Competing Interests: Conflict of Interest None.<br /> (Copyright © 2020 National Medical Association. Published by Elsevier Inc. All rights reserved.)
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 1943-4693
- Volume :
- 112
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of the National Medical Association
- Publication Type :
- Academic Journal
- Accession number :
- 32089275
- Full Text :
- https://doi.org/10.1016/j.jnma.2020.01.001