Surgical morbidity in patients with systemic lupus erythematosus
Thirty-six surgical procedures were performed on 29 patients with systemic lupus erythematosus (SLE). Nineteen cases involved active lupus at the time of surgery and 11 were performed on an emergent basis. Most patients had multiple organ involvement and were on some form of systemic therapy at the...
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| Veröffentlicht in: | The American journal of surgery 1989-03, Vol.157 (3), p.295-298 |
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| container_title | The American journal of surgery |
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| creator | Papa, Moshe Z. Shiloni, Eitan Vetto, John T. Kastner, Daniel L. McDonald, Harold D. |
| description | Thirty-six surgical procedures were performed on 29 patients with systemic lupus erythematosus (SLE). Nineteen cases involved active lupus at the time of surgery and 11 were performed on an emergent basis. Most patients had multiple organ involvement and were on some form of systemic therapy at the time of surgery. Thirty-seven postoperative complications were confined to 20 of these cases. Comparing this complicated group with the remaining 16 uncomplicated cases, the patients in the former group had a higher mean dose of steroid preoperatively, more organ involvement by SLE, and more frequent renal involvement; a higher percentage of the cases in this group were emergent rather than elective. The majority of factors examined failed to show predictive value in the outcome of surgery in lupus patients. We conclude that surgical complications are frequent in SLE patients and have identified four factors predictive of increased morbidity. |
| doi_str_mv | 10.1016/0002-9610(89)90554-0 |
| format | Article |
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Nineteen cases involved active lupus at the time of surgery and 11 were performed on an emergent basis. Most patients had multiple organ involvement and were on some form of systemic therapy at the time of surgery. Thirty-seven postoperative complications were confined to 20 of these cases. Comparing this complicated group with the remaining 16 uncomplicated cases, the patients in the former group had a higher mean dose of steroid preoperatively, more organ involvement by SLE, and more frequent renal involvement; a higher percentage of the cases in this group were emergent rather than elective. The majority of factors examined failed to show predictive value in the outcome of surgery in lupus patients. We conclude that surgical complications are frequent in SLE patients and have identified four factors predictive of increased morbidity.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/0002-9610(89)90554-0</identifier><identifier>PMID: 2919734</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Female ; Humans ; Lupus Erythematosus, Systemic - complications ; Lupus Erythematosus, Systemic - drug therapy ; Male ; Medical sciences ; Middle Aged ; Retrospective Studies ; Risk Factors ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. 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Nineteen cases involved active lupus at the time of surgery and 11 were performed on an emergent basis. Most patients had multiple organ involvement and were on some form of systemic therapy at the time of surgery. Thirty-seven postoperative complications were confined to 20 of these cases. Comparing this complicated group with the remaining 16 uncomplicated cases, the patients in the former group had a higher mean dose of steroid preoperatively, more organ involvement by SLE, and more frequent renal involvement; a higher percentage of the cases in this group were emergent rather than elective. The majority of factors examined failed to show predictive value in the outcome of surgery in lupus patients. We conclude that surgical complications are frequent in SLE patients and have identified four factors predictive of increased morbidity.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Lupus Erythematosus, Systemic - complications</subject><subject>Lupus Erythematosus, Systemic - drug therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Surgical Procedures, Operative - adverse effects</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMo6_rxDxR6ENFDNWmSbnIRZfELFjyo55CmUzfSbtdMquy_t3WXPXoahnneYeYh5ITRK0ZZfk0pzVKdM3qh9KWmUoqU7pAxUxOdMqX4LhlvkX1ygPjZt4wJPiKjTDM94WJMbl-78OGdrZOmDYUvfVwlfpEsbfSwiJj8-DhPcIURGu-Sult2mEBYxTk0NrbY4RHZq2yNcLyph-T94f5t-pTOXh6fp3ez1HGVx1QIVeRVBlXhCs41aLCyFFklrRDUZVKALCiVOVel1K7UlcilYkWZA3VMMM4Pyfl67zK0Xx1gNI1HB3VtF9B2aCaq_1vwARRr0IUWMUBllsE3NqwMo2YQZwYrZrBilDZ_4gztY6eb_V3RQLkNbUz187PN3GKvqwp24TxusUmWa011j92sMehdfHsIBl1v0kHpA7hoytb_f8cvSsmJwg</recordid><startdate>19890301</startdate><enddate>19890301</enddate><creator>Papa, Moshe Z.</creator><creator>Shiloni, Eitan</creator><creator>Vetto, John T.</creator><creator>Kastner, Daniel L.</creator><creator>McDonald, Harold D.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19890301</creationdate><title>Surgical morbidity in patients with systemic lupus erythematosus</title><author>Papa, Moshe Z. ; Shiloni, Eitan ; Vetto, John T. ; Kastner, Daniel L. ; McDonald, Harold D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-448b6f2efbcb339e9ea5d42f5a440c254e5b005638d59cd9f46581bd6e0c14133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Lupus Erythematosus, Systemic - complications</topic><topic>Lupus Erythematosus, Systemic - drug therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Surgical Procedures, Operative - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Papa, Moshe Z.</creatorcontrib><creatorcontrib>Shiloni, Eitan</creatorcontrib><creatorcontrib>Vetto, John T.</creatorcontrib><creatorcontrib>Kastner, Daniel L.</creatorcontrib><creatorcontrib>McDonald, Harold D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Papa, Moshe Z.</au><au>Shiloni, Eitan</au><au>Vetto, John T.</au><au>Kastner, Daniel L.</au><au>McDonald, Harold D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical morbidity in patients with systemic lupus erythematosus</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1989-03-01</date><risdate>1989</risdate><volume>157</volume><issue>3</issue><spage>295</spage><epage>298</epage><pages>295-298</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Thirty-six surgical procedures were performed on 29 patients with systemic lupus erythematosus (SLE). Nineteen cases involved active lupus at the time of surgery and 11 were performed on an emergent basis. Most patients had multiple organ involvement and were on some form of systemic therapy at the time of surgery. Thirty-seven postoperative complications were confined to 20 of these cases. Comparing this complicated group with the remaining 16 uncomplicated cases, the patients in the former group had a higher mean dose of steroid preoperatively, more organ involvement by SLE, and more frequent renal involvement; a higher percentage of the cases in this group were emergent rather than elective. The majority of factors examined failed to show predictive value in the outcome of surgery in lupus patients. We conclude that surgical complications are frequent in SLE patients and have identified four factors predictive of increased morbidity.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>2919734</pmid><doi>10.1016/0002-9610(89)90554-0</doi><tpages>4</tpages></addata></record> |
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| ispartof | The American journal of surgery, 1989-03, Vol.157 (3), p.295-298 |
| issn | 0002-9610 1879-1883 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adolescent Adult Aged Biological and medical sciences Female Humans Lupus Erythematosus, Systemic - complications Lupus Erythematosus, Systemic - drug therapy Male Medical sciences Middle Aged Retrospective Studies Risk Factors Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Surgical Procedures, Operative - adverse effects |
| title | Surgical morbidity in patients with systemic lupus erythematosus |
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