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首页> 外文期刊>Urology practice. >Screening Postoperative Hemoglobin after Robot-Assisted Radical Prostatectomy-Frequently Used, but Is It Necessary?
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Screening Postoperative Hemoglobin after Robot-Assisted Radical Prostatectomy-Frequently Used, but Is It Necessary?

机译：机器人辅助自由基前列腺切除术 - 经常使用后筛选术后血红蛋白，但是必要的？

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Introduction: Robot-assisted radical prostatectomy is associated with low rates of postoperative transfusion and hemorrhage. At our institution the decision to obtain screening hemoglobin testing after uncomplicated robot-assisted radical prostatectomy is left to surgeon discretion. It is unknown whether this testing represents high value care. We assessed the prevalence and clinical utility of hemoglobin testing after uncomplicated robot-assisted radical prostatectomy.Methods: We retrospectively reviewed patients undergoing robot-assisted radical prostatectomy between 2002 and 2016. Patients transfused intraoperatively were excluded. Demographic and periop-erative data were reviewed. In patients requiring blood transfusion and/or with hemorrhage clinical signs/symptoms of anemia were reviewed. The primary endpoint was rate of routine postoperative hemoglobin testing. Secondary endpoints included rates of postoperative transfusion and hemorrhage, rates of signs/symptoms of anemia in patients transfused postoperatively and/or with hemorrhage.Results: A total of 3,405 patients were identified of whom 73.8% (2,514) underwent postoperative hemoglobin testing. Mean change relative to preoperative hemoglobin was -2.7+-1.0 gm/dl with 10.2% (256) and 3.5% (87) experiencing a decrease in hemoglobin 4 gm/dl or greater and postoperative hemoglobin 10 gm/dl or less, respectively. Of patients undergoing at least 1 postoperative hemoglobin test subsequent testing was prompted for 13.4% (337). Of patients transfused (1.7%, 58) and/or with postoperative hemorrhage (1.5%, 48) with records available for review (46), 95.7% (44) had clinical signs/symptoms of anemia.Conclusions: Our results suggest that routine hemoglobin testing after uncomplicated prostatectomy should be performed when clinically indicated rather than as routine practice.
机译：简介：机器人辅助的根治性前列腺切除术与术后输血和出血的低发生率有关。在我们的研究所，在简单的机器人辅助根治性前列腺切除术后获得筛查血红蛋白检测的决定由外科医生决定。目前尚不清楚该测试是否代表高价值护理。我们评估了简单的机器人辅助根治性前列腺切除术后血红蛋白检测的患病率和临床实用性。方法：回顾性分析2002年至2016年间接受机器人辅助根治性前列腺切除术的患者。排除术中输血的患者。回顾人口统计学和围手术期数据。在需要输血和/或出血的患者中，对贫血的临床体征/症状进行了回顾。主要终点是术后常规血红蛋白检测率。次要终点包括术后输血和出血率，术后输血和/或出血患者贫血症状/体征的发生率。结果：共确诊3405例患者，其中73.8%（2514例）接受了术后血红蛋白检测。与术前血红蛋白相关的平均变化为-2.7+-1.0 gm/dl，其中10.2%（256）和3.5%（87）的血红蛋白4 gm/dl或更高，术后血红蛋白10 gm/dl或更低。在至少进行一次术后血红蛋白检测的患者中，随后的检测提示为13.4%（337）。在输血患者（1.7%，58人）和/或术后出血患者（1.5%，48人）中，有可供审查的记录（46人），95.7%（44人）有贫血的临床体征/症状。结论：我们的结果表明，无并发症前列腺切除术后的常规血红蛋白检测应在临床需要时进行，而不是作为常规做法。

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