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  • Title: [Incidence and prognosis of postoperative jaundice in surgical intensive care patients].
    Author: Helftenbein A, Windolf J, Sänger P, Hanisch E.
    Journal: Chirurg; 1997 Dec; 68(12):1292-6. PubMed ID: 9483358.
    Abstract:
    Jaundice in critically ill patients may be difficult to explain. This study analyzes pathophysiologically relevant data, and discusses the prognostic value of hyperbilirubinemia. A total of 1275 patients were prospectively enrolled; 7.6% developed hyperbilirubinemia of at least 2 mg/dl. Mortality in icteric patients was significantly higher (29%) than in the non-icteric group. Sepsis, shock and the number of blood transfusions are very important in hyperbilirubinemia. Nevertheless, in critically ill patients, jaundice per se is not a sign of poor outcome; indeed it only reflects the underlying disease.
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