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Morbidity associated with emergency surgery versus scheduled surgery in patients with placenta accreta spectrum.
Saldarriaga-Hoyos, Juan José; Sarria-Ortiz, Daniela; Galindo-Velasco, Valentina; Rivera-Torres, Luisa Fernanda; Nieto-Calvache, Albaro José.
Afiliação
  • Saldarriaga-Hoyos JJ; Fundación Valle del Lili Departamento de Ginecología y Obstetricia Cali Colombia Fundación Valle del Lili, Departamento de Ginecología y Obstetricia, Cali, Colombia.
  • Sarria-Ortiz D; Universidad Icesi Facultad de Ciencias de la Salud Cali Colombia Universidad Icesi, Facultad de Ciencias de la Salud, Calle, Cali, Colombia.
  • Galindo-Velasco V; Fundación Valle del Lili Centro de Investigaciones Clínicas Cali Colombia Fundación Valle del Lili, Centro de Investigaciones Clínicas, Cali, Colombia.
  • Rivera-Torres LF; Fundación Valle del Lili Centro de Investigaciones Clínicas Cali Colombia Fundación Valle del Lili, Centro de Investigaciones Clínicas, Cali, Colombia.
  • Nieto-Calvache AJ; Fundación Valle del Lili Centro de Investigaciones Clínicas Cali Colombia Fundación Valle del Lili, Centro de Investigaciones Clínicas, Cali, Colombia.
Rev Bras Ginecol Obstet ; 462024.
Article em En | MEDLINE | ID: mdl-39380586
ABSTRACT

Objective:

This study aims to evaluate the clinical outcomes of surgical management for placenta accreta spectrum in a Latin American reference hospital specializing in this condition. The evaluation involves a comparison between surgeries performed on an emergent and scheduled basis.

Methods:

A retrospective cohort study was conducted on patients with placenta accreta spectrum who underwent surgery between January 2011 and November 2021 at a hospital in Colombia, using data from the institutional PAS registry. The study included patients with intraoperative and/or histological confirmation of PAS, regardless of prenatal suspicion. Clinical outcomes were compared between patients who had emergent surgeries and those who had scheduled surgeries. Descriptive analysis involved summary measures and the Shapiro-Wilk test for quantitative variables, with comparisons made using Pearson's Chi-squared test and the Wilcoxon rank sum test, applying a significance level of 5%.

Results:

A total of 113 patients were included, 84 (74.3%) of them underwent scheduled surgery, and 29 (25.6%) underwent emergency surgery. The emergency surgery group required more transfusions (72.4% vs 48.8%, p=0.047). Patients with intraoperative diagnosis of placenta accreta spectrum (21 women, 19.5%) had a greater volume of blood loss than patients taken into surgery with known presence of placenta accreta spectrum (3500 ml, IQR 1700 - 4000 vs 1700 ml, IQR 1195-2135. p <0.001).

Conclusion:

Patients with placenta accreta spectrum undergoing emergency surgery require transfusions more frequently than those undergoing scheduled surgery.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Placenta Acreta Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: America do sul / Colombia Idioma: En Revista: Rev Bras Ginecol Obstet Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Placenta Acreta Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: America do sul / Colombia Idioma: En Revista: Rev Bras Ginecol Obstet Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Brasil