Perioperative medicine & outcomes

Postoperative morbidity after suspected grade III perioperative immediate hypersensitivity reactions with completed surgery: a matched case–control study

Anaesth Crit Care Pain MedPublished Retrospective matched case–control study

Main finding · Composite outcomeResult — go to the resultOdds ratio 3.54 95% CI 1.14–11.00

Authors' conclusion

Patients with suspected grade III POH whose surgery was completed had a higher incidence of postoperative morbidity than matched controls undergoing similar surgical procedures.

Study context

Population
Adults with suspected grade III perioperative immediate hypersensitivity reactions whose surgery was completed, Lille University Hospital, 2012–2023
Participants
35 vs 101
Exposure
Cases vs Controls
  • Casesn = 35
  • Controlsn = 101reference
Outcome
Composite:
  • 30-day postoperative morbidity
  • Mortality
Follow-up
30 days
Methodological detailssingle-centre
  • Single-centre

Main finding

Composite outcome

Odds ratio

3.54

95% CI 1.14–11.00

P = 0.029

By group

Cases vs Controls
OR 3.54 (95% CI 1.14–11.00); P = 0.029

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)P value
Composite outcome (subgroup: documented mast cell activation)1.57 (0.24–10.31)P = 0.64

Original publication

Postoperative morbidity after suspected grade III perioperative immediate hypersensitivity reactions with completed surgery: a matched case–control study. Anaesth Crit Care Pain Med. Published 22 September 2026. doi:10.1016/j.accpm.2026.101920

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