Perioperative outcomes for benign hysterectomy among women with thrombocytopenia

David Sheyn*, Ryan Darvish, Lalitha Nayak, Sara Myer, Caitlin Claridge, C. Emi Bretschneider

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To determine whether mild or moderate thrombocytopenia is associated with postoperative complications after benign hysterectomy. Methods: A retrospective study of data from women who underwent benign hysterectomy included in the American College of Surgeons National Surgical Quality Improvement Project Database. The data were stratified by normal platelet count, mild thrombocytopenia (100–149 × 103 platelets/µl), and moderate thrombocytopenia (50–99 × 103 platelets/µl). Multivariable logistic regression was used to determine the relationship between mild or moderate thrombocytopenia and the main outcome measures. Results: Moderate thrombocytopenia was associated with an increased risk of perioperative transfusion (adjusted odds ratio [aOR], 2.87; 95% confidence interval [CI], 1.96–4.21) and reoperation (aOR, 4.03; 95% CI, 1.94–17.33), but mild thrombocytopenia was not. There was an increased risk of infection among women with both mild (aOR, 1.38; 95% CI, 1.12–1.69) and moderate (aOR, 2.00; 95% CI,1.23–3.22) thrombocytopenia. There was no association between either mild or moderate thrombocytopenia and readmission, prolonged hospital stay, or longer surgical time. Conclusion: Thrombocytopenia was found to be associated with increased infectious morbidity after hysterectomy, and moderate thrombocytopenia was associated with an increased risk of perioperative transfusion and reoperation.

Original languageEnglish (US)
JournalInternational Journal of Gynecology and Obstetrics
DOIs
StateAccepted/In press - 2021

Keywords

  • hysterectomy
  • postoperative complications
  • thrombocytopenia

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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