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10 August 2023: Clinical Research

Impact of Maternal Preoperative Hemoglobin Levels on Intraoperative Hemorrhage Risk in Placenta Accrete Spectrum Disorders: A Retrospective Cross-Sectional Study

Baolian Zhang 1AE , Hong Liu 1AEF , Wenli Wang 2BCD , Jia Wang 3BCD , Yuping Jiang 2CD , Wen Jia 2BCD , Haiyan Li 2C , He Zhu 2C , Xiaona Du 2EF , Xianghua Huang 2EFG*

DOI: 10.12659/MSM.940443

Med Sci Monit 2023; 29:e940443

Table 3 Association between level of maternal preoperative hemoglobin and risk of massive intraoperative hemorrhage.

No. of events (%)Crude modelMinimally adjusted modelFully adjusted model
OR (95% CI)POR (95% CI)POR (95% CI)P
Continuous PreHb, per g/dL increment538 (38.66)0.64 (0.55, 0.73)0.66 (0.55, 0.79)0.65 (0.53, 0.79)
Anemia
 No275 (26.18)RefRefRef
 Yes263 (51.17)3.02 (2.10, 4.33)2.43 (1.51, 3.91)0.00032.55 (1.54, 4.24)0.0003
PreHb tertiles
 T1 (5.40–10.30)174 (58.05)RefRefRef
 T2 (10.40–11.50)178 (34.83)0.39 (0.25, 0.59)0.41 (0.23, 0.73)0.00220.35 (0.19, 0.64)0.0007
 T3 (11.60–15.20)186 (24.19)0.23 (0.15, 0.36)0.32 (0.18, 0.58)0.00020.31 (0.16, 0.58)0.0003
trend

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750