To assess the mortality (mostly long-term sequelae) of patients undergoing splenectomy, we carried out a population-based study in Sweden.
Using the unique personal identification number assigned to each Swedish resident, we linked centralized hospitalization records with nationwide mortality data.
After initially assessing risks within the first 12 months after splenectomy, we excluded deaths during the first year and computed standardized mortality ratios (SMRs) for 1,297 patients splenectomized for extemal trauma and 991 surgically treated for nonmalignant conditions of adjacent organs who were alive at 12 months following surgery.
The general Swedish population was used as the comparison.
Both men and women undergoing splenectomy for external trauma had a 1.6-fold (SMR=1.6) significantly elevated mortality risk, due mainly to circulatory diseases (particularly thromboembolism), alcoholism, digestive disorders. and external causes.
Men also had a 28-fold increased mortality from septicemia and an excess of liver cirrhosis (mostly alcohol-related).
Patients of both genders splenectomized for nonmalignant conditions had small but significantly elevated mortality overall (SMR=1.4 to 1.5) reflecting excess risks for malignancies, diseases of blood-forming organs, external causes, and circulatory, respiratory, and digestive disorders. (...)
Mots-clés Pascal : Splénectomie, Complication, Long terme, Suède, Europe, Pronostic, Mortalité, Etiologie, Homme, Chirurgie, Rate
Mots-clés Pascal anglais : Splenectomy, Complication, Long term, Sweden, Europe, Prognosis, Mortality, Etiology, Human, Surgery, Spleen
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0493391
Code Inist : 002B25G03. Création : 10/04/1997.