Risk factor for postoperative complications in patients with acute fatty liver during pregnancy
10.3760/cma.j.cn131073.20230714.01003
- VernacularTitle:妊娠期急性脂肪肝患者术后并发症的危险因素
- Author:
Weiming CHEN
1
;
Peiwen LIANG
;
Shouping WANG
Author Information
1. 广州医科大学附属第三医院麻醉科，广州 510150
- Keywords:
Pregnant women;
Fatty liver;
Postoperative complications;
Risk factor
- From:
Chinese Journal of Anesthesiology
2023;43(10):1170-1172
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the risk factors for postoperative complications in the patients with acute fatty liver during pregnancy.Methods:The medical records from patients with acute fatty liver during pregnancy admitted to the hospital from January 2016 to April 2023, including baseline characteristics, clinical symptoms, laboratory examinations, complications, etc. were collected.Patients were divided into postoperative complication group and non-postoperative complication group according to whether the patients developed postoperative complications, and logistic regression analysis was used to identify the risk factors for postoperative complications in the patients with acute fatty liver during pregnancy.Results:A total of 61 patients were included in this study, 26 patients developed postoperative complications, and the incidence was 43%. There were significant differences in the ratio of primigravida, ratio of jaundice, prothrombin time, activated partial thromboplastin time, alanine aminotransferase, total bilirubin, direct bilirubin, and serum creatinine concentrations between the two groups ( P<0.05). The results of logistic regression analysis showed that primigravida, prothrombin time and serum creatinine concentrations were risk factors for postoperative complications ( P<0.05). Conclusions:Primigravida, prothrombin time and serum creatinine concentrations are risk factors for postoperative complications in the patients with acute fatty liver during pregnancy.
