[Half-stay and morbidity in a cohort of patients treated with urologic surgery iin the treatment with acenocumarol (Sintrom)].
OBJECTIVE
Our objective was to evaluate the effect about half stay at hospital, in patients treated with Sintrom, which required different urological surgery.


METHODS
We evaluated 55 patients in treatment with Sintrom which required different urological surgery. We analysed a cohort control group with similar characteristic without anticoagulation therapy. The patients was at hospital 3 days before surgery to realize the change Sintrom/Heparina. We used the haematology service's protocol at the Hospital del Mar. We analysed in each patient the half stay at hospital and the morbidity referred to bleeding complications. The decrease of haemoglobin higher than 2 g/dl was considered significant.


RESULTS
About half stay, all patients required more days of hospitalization. The additional morbidity was obvious in the transurethral resection of the prostate and in great not endoscopical surgery. In the rest of surgery the complications referred to bleeding have repercussion about stay at hospital.


CONCLUSIONS
We found a significant increased half stay at hospital and the morbidity referred to bleeding complications and its consequence (transfusion, second surgery,...).
Alonso Gracia
N
N
Servicio y Cátedra de Urología, Hospital del Mar, UAB, Barcelona.
Lorente Garin
J A
JA
Conde Santos
G
G
De León Morales
E
E
Cañís Sánchez
D
D
Gelabert-Más
A
A
D000074:Acenocoumarol / Q000627:therapeutic use*; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000627:therapeutic use*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology*; D012189:Retrospective Studies; D014570:Urologic Diseases / Q000601:surgery*
D000925:Anticoagulants; D000074:Acenocoumarol