Méthodes peropératoires pour améliorer l’estimation des pertes sanguines chirurgicales et par voie vaginale en cours de césarienne

Ducloy-Bouthors, A.-S.; Cordier, Dominik; Ancelet, F.; Robitaille, S.; Hernout, M.-F.; Lemeur, C.; Depret-Mosser, S; Richart, P.; Barré-Drouard, C.

doi:10.1007/s12611-017-0432-x

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…Monitoring of study participants and data collection: The data collected before the surgical intervention included sociodemographic parameters, information on the surgical pathology to be operated on, Altemeier and ASA classes, the chosen anesthesia technique; during the intervention the SAS (Table 1) parameters, and at the end of the intervention the duration of the intervention was noted, the SAS calculated and scored as described above [7] [8]. The HR and the MAP were taken from the values automatically displayed on the multiparameter monitor (Mindray MEC-1000), the blood losses quantified from the blood contained in the suction jar and that deduced from the weighing of the gauzes and the surgical linen freshly soaked in blood using a precision balance type S F 400 Light Cameroon; the difference between the weight of the wet laundry and its weight in the dry state being the weight of the blood of which 1g corresponds to 1cc [15]. In the early postoperative period, serious complications and deaths were recorded through regular monitoring of patients during hospitalization and then after returning home by telephone.…”

Section: Methodsmentioning

confidence: 99%

Usefulness of the Surgical Apgar Score to Predict the Occurrence of Major Complications in the Early Post-Operative Period of Major Surgeries: Experience of Two Second-Category Hospitals in Cameroon

Binam Bikoi,

Ndongo,

Nga Nomo

et al. 2024

OJAnes

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Objective: The Surgical Apgar Score (SAS) is a tool for intraoperative stratification of the risk of serious complications in the early postoperative period. It varies from 0 to 10 points divided into three risk categories (0 to 4 high, 5 to 7 moderate, 8 to 10 low). The aim of the study was to evaluate its relevance in predicting the appearance of these complications. Material and methods: This descriptive and analytical study was carried out at the "Laquintinie" Hospital in Douala and at the Central Hospital in Yaounde, Cameroon. The main data were collected on a population of patients over 18 years old and recorded on a survey form. They consisted of variables of main interest and exposure variables. Univariate and multivariate statistical analysis using top-down logistic regression models made it possible to evaluate the association of each variable of main interest and each exposure variable. The association was significant at P < 0.05. The multivariate analysis assessed the strength of the link by concomitantly adjusting for the other exposure variables having a level of significance ≤0.25 in univariate, and in the final model those presenting a significance ≤0.05. The relation was significant at P < 0.05. Results: Of the 88 patients studied, the SAS was < 4 for 17, 5 -7 for 66. Univariately, the prevalence of complications was significantly higher in the category of SAS < 4; OR (CI) 0.1 (0.1 -0.2) as well as for Altemeier classes 3 and 4, ASA 3 and 4, the duration of the intervention > 3 hours. In multivariate, this link persisted only and strongly for the SAS OR (IC) 0.1 (0.1 -0.2) and p = 000. Conclusion:

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Section: Methodsmentioning

confidence: 99%

Usefulness of the Surgical Apgar Score to Predict the Occurrence of Major Complications in the Early Post-Operative Period of Major Surgeries: Experience of Two Second-Category Hospitals in Cameroon

Binam Bikoi,

Ndongo,

Nga Nomo

et al. 2024

OJAnes

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“…Despite imprecise measurement routines, establishing alert thresholds and responsive management is crucial. 52,53 Secondary PPH, occurring after the initial 24 h post-partum, is infrequently assessed in women with BDs, despite frequent reports of heightened and prolonged bleeding issues. Improving post-delivery follow-up in the weeks after delivery necessitates more standardized practices, especially considering complications like hemoperitoneum or uterine meshing.…”

Section: Post-partum Haemorrhagementioning

confidence: 99%

“…For instance, in carriers of haemophilia, reported PPH rates can range from 0 to 63% across different cohorts. Despite imprecise measurement routines, establishing alert thresholds and responsive management is crucial 52,53 …”

Section: How To Incorporate Women‐specific Outcomes For Women and Gir...mentioning

confidence: 99%

Outcomes and outcome measures

Castaman,

Jimenez‐Yuste,

Gouw

et al. 2024

Haemophilia

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IntroductionAdvances in haemophilia treatment have resulted in a near‐normal life expectancy, lower burden of bleeding and treatment, and improved quality of life in high‐income countries. Bleeding rate is approaching zero and novel parameters should be evaluated to assess the efficacy of treatment not only from the clinical point of view by using new methodologies (e.g. joint health assessment), but also from the patient's perspective (e.g. pain, quality of life, treatment satisfaction).Methods and resultsThis approach should be aimed at combining objective clinical methodologies and patient‐reported outcomes (PROs). However, some instruments used for assessing PROs are still suboptimal and not properly validated. Recent evidence suggests that these tools can take advantage from a more personalized designed approach and could be effectively improved and serve to facilitate the patient's self‐evaluation. For other congenital bleeding disorders (BDs), a set of patient‐relevant outcomes has been also defined that overlap substantially those of haemophilia, including bleeding, side effects and complications, and PROs, such as pain, physical functioning, impact on daily life including school and work and mental health. There is a growing focus on addressing women‐specific outcomes in BDs, reflecting an increased awareness of the unique challenges faced by women in this context. However, the development of tailored tools is imperative to further advance the progress in managing women with BDs, ensuring more accurate monitoring and personalized care.ConclusionsHow incorporating these outcome measures in the process of approval of novel treatments for these disorders by regulatory authorities remains to be established.

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Méthodes peropératoires pour améliorer l’estimation des pertes sanguines chirurgicales et par voie vaginale en cours de césarienne

Cited by 2 publications

References 6 publications

Usefulness of the Surgical Apgar Score to Predict the Occurrence of Major Complications in the Early Post-Operative Period of Major Surgeries: Experience of Two Second-Category Hospitals in Cameroon

Usefulness of the Surgical Apgar Score to Predict the Occurrence of Major Complications in the Early Post-Operative Period of Major Surgeries: Experience of Two Second-Category Hospitals in Cameroon

Outcomes and outcome measures

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