Acknowledgment The author would like to sincerely thank Dr. Robert Sladen for his work on this chapter in the previous edition. Risk Incidence in USA: 1% of all hospital admissions (community-acquired); 5% of all general hospital pts (hospital-acquired); 10–30% of…
Acknowledgment The author wishes to acknowledge the contribution to the previous edition of this chapter by Dr. David Bandola. Risk Incidence of 5.5:100,000 person years at risk (50,000 new cases per y in USA). Prevalence of 21:100,000 person years at…
Risk Prevelance: 3-5% of population (based on population-based surveys of various ethnicities) Five times more prominent in women than men; commonly diagnosed in second, third, and fourth decades of life. Perioperative Risks Rare morbidity of ischemia, resulting in necrosis and…
Risk Greatest after direct or indirect exposure to infected cattle, sheep, or goats; particularly at parturition Less from a variety of other animals, rarely from blood products Abattoir workers, veterinarians, and other animal workers at greatest risk Pts with immune…
Risk Incidence: 1:300-1000 live births. Incidence is 3–5% higher among children of affected parents. More common in males. Perioperative Risks Similar to other abd procedures in pts of same age. Some association with GU anomalies. Some pts have elevated unconjugated…
Risk TTP rare (1:1,000,000). Adult, pregnancy may be a predisposing factor. Survival 80% at 6 mo; 90% mortality if untreated. Periop risks Rarely reported in pregnancy or postsurgically (case reports point to cardiac/urologic complications). Refer pt for splenectomy if medical…
Risk Rare (100:1 million) Children: Male > female Adults: Female > male (2–4:1). Pregnancy: 1:1000 deliveries; 5% of thrombocytopenia in pregnancy, especially if present in first trimester. Perioperative Risks Hemorrhage (case reports put mortality for splenectomy at 1%, one-third of…
Risk Relatively uncommon disease process, with an estimated incidence of 1–5:100,000. Frequently identified as a contributing cause of death in USA, resulting in 6.5:100,000 deaths (2010). Left heart disease underlies 60–85% of pHTN cases. Primary pulmonary disease (e.g., COPD/OSA) is…
Risk Present in ∼42.7–63:100,000 and incidence is ∼16.3:100,000 in USA; more common with increasing age, with majority >55 y. Occurrence higher in males than females; risk factors include smoking, exposures, increasing age, family history, chronic reflux, environmental, viral, and genetics.…
Risk Incidence of pulmonary embolism in USA: 600,000/y No racial predilection Risk factors same as those for DVT Perioperative Risks Presents a risk for hypoxemia and right heart failure. Periop mortality of 50–90% for acute thromboendarterectomy and of ∼10% for…