A retrospective study to evaluate the effect of anemia in the outcome of emergency abdominal surgeries
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 9, Issue 2
Abstract
Background: Anaemia is the most common laboratory abnormality encountered in pre-operative patients. Pre-operative anaemia is an important risk factor for peri and post operative blood transfusions and is shown to be independently associated with adverse outcomes after non cardiac surgeries Methods: A retrospective study was carried out in Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand to evaluate the effect of anaemia in the outcome of emergency abdominal surgeries. Results: A total of 88 patients, who underwent emergency laparotomy surgery were included in the study. Of the 88 patients, 64 were males and 24 females. The mean age of the patients in the study was 42.2 years. The number of females remained more or less consistent in all age groups but the males showed a preponderance in the 15-45yrs group. There was a significantly higher mortality among females, however the morbidity remained quite similar for both men and women. 22 patients were found anaemic .42% of the females were anaemic and 18% of men were anaemic. 80% of expired females were anaemic and 50% of expired males were having less haemoglobin. In our study there was significant association between anaemia, pulmonary oedema, surgical site infection, anastomotic leak, postoperative sepsis and postoperative mortality. We did not find any association between anaemia, pleural effusion and prolonged ileus. Conclusions: Anaemia is an important independent risk factor for the perioperative and post operative morbidity and mortality.
Authors and Affiliations
Ankit Jain, Sahil Rometra
Keywords
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- EP ID EP471873
- DOI 10.26611/1069213
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