Regional multidisciplinary team approach to the management of placenta accreta spectrum disorder

Figures & data

Table 1. Outcomes associated with surgical management of placenta accreta spectrum disorder.

	2014–2018	2019–2021	p-Value
n	59	55
Quantitative blood loss (mL)	2000 [1300, 4000]	1500 [1000, 2500]	.005
Total transfused PRBC unit	4 [2, 7]	2 [0, 4]	<.001
Accurate increta/percreta diagnosis	21 (35.6)	46 (83.6)	<.001
Undiagnosed cases	5 (8.5)	2 (3.6)	.2
Overdiagnosed cases	2 (3.4)	0
ICU Admission	16 (27.1)	7 (12.7)	.06
Bladder injury	14 (23.7)	9 (16.4)	.33
Postoperative length of stay	4 [4, 5]	3 [3, 4]	<.001

Results presented as: median [IQR], or n(%).

Table 2. Surgical risks associated with multidisciplinary approach to placenta acreta spectrum disorder management.

	2014–2018	2019–2021	p-Value	Odds ratio [95% CI]	Adjusted odds ratio^a [95% CI]
Total blood loss ≥2000 mL	34 (57.6)^b	21 (38.2)	.04	0.45 [0.21, 0.96]	0.43 [0.20, 0.95]
Transfusion of ≥4 units PRBCs	35 (59.3)	19 (34.6)	.008	0.36 [0.17, 0.77]	0.29 [0.13, 0.66]
No blood transfusion	8 (13.6)	17 (30.9)	.03	2.82 [1.11, 7.30]	2.99 [1.12, 8.00]

^aAdjusted for placenta increta/percreta and gestational age at delivery.

^bResults presented as n(%).