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

Baolian Zhang; Hong Liu; Wenli Wang; Jia Wang; Yuping Jiang; Wen Jia; Haiyan Li; He Zhu; Xiaona Du; Xianghua Huang

doi:10.12659/MSM.940443

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

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

	No. of events (%)	Crude model		Minimally adjusted model		Fully adjusted model
	No. of events (%)	OR (95% CI)	P	OR (95% CI)	P	OR (95% CI)	P
Continuous PreHb, per g/dL increment	538 (38.66)	0.64 (0.55, 0.73)	<0.0001	0.66 (0.55, 0.79)	<0.0001	0.65 (0.53, 0.79)	<0.0001
Anemia
No	275 (26.18)	Ref		Ref		Ref
Yes	263 (51.17)	3.02 (2.10, 4.33)	<0.0001	2.43 (1.51, 3.91)	0.0003	2.55 (1.54, 4.24)	0.0003
PreHb tertiles
T1 (5.40–10.30)	174 (58.05)	Ref		Ref		Ref
T2 (10.40–11.50)	178 (34.83)	0.39 (0.25, 0.59)	<0.0001	0.41 (0.23, 0.73)	0.0022	0.35 (0.19, 0.64)	0.0007
T3 (11.60–15.20)	186 (24.19)	0.23 (0.15, 0.36)	<0.0001	0.32 (0.18, 0.58)	0.0002	0.31 (0.16, 0.58)	0.0003
trend	–	–	<0.001	–	<0.001	–	<0.001

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

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