{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:25:56Z","timestamp":1747182356209,"version":"3.40.5"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T00:00:00Z","timestamp":1627344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the incidence of and risk factors for perioperative blood transfusions after urogenital fistula repairs in Uganda.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A community hospital in Masaka, Uganda.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women who underwent fistula repair at the Kitovu Hospital between 2013 and 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of demographics and clinical perioperative characteristics of patients surgically treated for urogenital fistula. Patient characteristics were compared between those who did and those who did not require a blood transfusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Need for perioperative blood transfusion and risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 546 patients treated for urogenital fistulas were included in this study. The median age was 31.1\u2009\u00b1\u200913.2\u2009years. A vaginal surgical approach was used in the majority of patients (84.6%). Complications occurred in 3.5% of surgical repairs, and the incidence of blood transfusions was 6.2%. In multivariable analyses, for each gram per deciliter (g\/dl) increase in preoperative haemoglobin, the odds of blood transfusion decreased by approximately 28% (adjusted OR\u20090.72, 95%\u2009CI 0.59\u20130.86). Women who had their fistula repaired abdominally were 3.4 times more likely to require transfusions (95%\u2009CI 1.40\u20138.08).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The incidence of blood transfusions among urogenital fistula repairs in our population is twice that of developed nations. An abdominal surgical approach to urogenital fistula is a significant risk factor for perioperative blood transfusions. The timing of the repair may warrant further study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>One of the first studies to look at blood transfusion risk factors after fistula repair in a low\u2010resource setting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.16845","type":"journal-article","created":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T08:43:44Z","timestamp":1626252224000},"page":"120-126","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Risk factors for perioperative blood transfusions after urogenital fistula repair in Uganda: a retrospective cohort study"],"prefix":"10.1111","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0090-7481","authenticated-orcid":false,"given":"TK","family":"Potluri","sequence":"first","affiliation":[{"name":"Morsani College of Medicine University of South Florida Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LM","family":"Holt","sequence":"additional","affiliation":[{"name":"Morsani College of Medicine University of South Florida Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JP","family":"Tanner","sequence":"additional","affiliation":[{"name":"College of Public Health University of South Florida Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Wasingya","sequence":"additional","affiliation":[{"name":"Depratment of Medicine Kitovu Hospital Masaka Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Duffy","sequence":"additional","affiliation":[{"name":"Kitovu Hospital Fistula Unit Masaka Uganda"},{"name":"Chelsea and Westminster Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KA","family":"Greene","sequence":"additional","affiliation":[{"name":"Kitovu Hospital Fistula Unit Masaka Uganda"},{"name":"University of South Florida Department of Female Pelvic Medicine and Reconstructive Surgery Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,27]]},"reference":[{"volume-title":"10 facts on obstetric fistula","year":"2019","author":"World Health Organization","key":"e_1_2_7_2_1"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70348-1"},{"volume-title":"Uganda Demographic and Health Survey 2016","year":"2018","author":"Uganda Bureau of Statistics \u2010 UBOS and ICF","key":"e_1_2_7_4_1"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69476-2"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.03.008"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23167"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24508"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2018.08.010"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2018.08.011"},{"key":"e_1_2_7_11_1","unstructured":"GarelyAD&MannWJ.Urogenital tract fistulas in women. Post TW ed. UpToDate. Waltham MA: UpToDate Inc.https:\/\/www.uptodate.com(Accessed on April 09 2020.)"},{"volume-title":"Atlas of pelvic anatomy and gynecologic surgery","year":"2016","author":"Michael S","key":"e_1_2_7_12_1"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.13419"},{"key":"e_1_2_7_14_1","first-page":"35","article-title":"Urogenital fistulas in women: 5\u2010year experience at a single center","volume":"7","author":"Singh O","year":"2010","journal-title":"Urol J"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-002-0085-5"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.16845","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1471-0528.16845","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.16845","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T19:48:47Z","timestamp":1692992927000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.16845"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,27]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1111\/1471-0528.16845"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.16845","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"type":"print","value":"1470-0328"},{"type":"electronic","value":"1471-0528"}],"subject":[],"published":{"date-parts":[[2021,7,27]]},"assertion":[{"value":"2021-07-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}