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Sickle cell crisis

Prevalence
Clinical features
Investigations
Therapy
Prevention
Prognosis
Prevention

If surgery is required, keep it simple. a

Why?

  • Complications are more likely when incidental procedures are performed a or the surgery is more risky b


Incidental procedures and more risky surgery increases the risk of complications

Patient Prognostic Factor Outcome CER OR
(95% CI)
NNF+
(95% CI)
cholecystectomy a incidental procedure
independent
any complication
at ?30 days
30% 2.0
(1.22 to 3.29)
6
(4 to 23)
elective surgery b increased surgical risk
independent
any complication
at 30 days
30% 1.76
(1.09 to 2.89)
7
(4 to 52)

 

Expiry date: May 2004
Levels of Evidence used in grading these guides

Author    CM  Ball, RS Phillips
Reviewer   G   Serjeant
CAT Writer     CM  Ball, N  Shenker