학술논문

Preoperative hemoglobin thresholds for survival equity in women and men
Document Type
article
Author
Source
Frontiers in Medicine, Vol 11 (2024)
Subject
hemoglobin
equitable health care
anemia
perioperative management
perioperative medicine
Medicine (General)
R5-920
Language
English
ISSN
2296-858X
Abstract
Anemia affects humans throughout life, and is linked to higher morbidity and mortality. Unclear is whether hemoglobin values are equivalent between women and men. This study evaluates the association of preoperative hemoglobin levels with in-hospital mortality and estimates thresholds for survival equity between men and women. All adult patients undergoing surgery between 2010 and 2019 from 14 German hospitals were included in the study. Thresholds for survival equity were determined with generalized additive models. In total, 842,130 patients with a median in-hospital follow-up time of 7 days were analyzed. During follow-up 20,370 deaths occurred. Preoperative hemoglobin stratified in-hospital mortality (log-rank test p