School of Medicine and Health Sciences Poster Presentations

Title

The effect of COPD on postoperative complication rates for laparoscopic hysterectomy

Poster Number

340

Document Type

Poster

Status

Medical Student

Abstract Category

Women/Child Health

Keywords

Hysterectomy, COPD

Publication Date

Spring 2018

Abstract

Objective: The purpose of this study was to evaluate the impact of COPD on postoperative complication rates for laparoscopic hysterectomy.

Background: Hysterectomies are one of the most common procedures done in the United States. The incidence of COPD particularly in women has been steadily rising over the past few decades. There has also been very limited research on COPD and its association with morbidity and mortality after laparoscopic hysterectomies. In this study, we examined the following: (1) What demographics and comorbidities are most likely to present concurrently in patients with COPD? (2) Are patients with COPD undergoing laparoscopic hysterectomy at increased risk for development of postoperative complications within 30 days? (3) Do patients with COPD have a higher propensity for extended hospital stay or unplanned return to operating room? (4) Does COPD act as an independent risk factor for development of particular postoperative complications within 30 days?

Study Design: This was a retrospective cohort study using data collected from 2005 to 2013 from American College of Surgeons National Surgical Quality Improvement Program Database. All patients who underwent laparoscopic hysterectomies were identified by CPT codes and stratified based on their COPD status. Univariate and Multivariate analyses were done to determine the incidence and frequency of postoperative complications within 30 days of a laparoscopic hysterectomy.

Results: This study included 42,674 patients that underwent laparoscopic hysterectomies (COPD=479 [1.12%]); (no COPD=42195 [98.8%]). Patients with COPD were found to develop more postoperative complications, including pneumonia, reintubation, renal insufficiency and sepsis. COPD was found to be an independent risk factor for the development of these complications. Of note, patients with COPD were found to have extended length of hospital stay.

Conclusion: Our study found that patients with COPD who undergo laparoscopic hysterectomies have a greater risk of developing postoperative complications including pneumonia, reintubation, renal insufficiency and sepsis. The overall occurrence of postoperative complications is low. Gynecologists should take into consideration the COPD status of patients when evaluating their preoperative risk. Overall, the complication rates are relatively low and so the procedure is safe.

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The effect of COPD on postoperative complication rates for laparoscopic hysterectomy

Objective: The purpose of this study was to evaluate the impact of COPD on postoperative complication rates for laparoscopic hysterectomy.

Background: Hysterectomies are one of the most common procedures done in the United States. The incidence of COPD particularly in women has been steadily rising over the past few decades. There has also been very limited research on COPD and its association with morbidity and mortality after laparoscopic hysterectomies. In this study, we examined the following: (1) What demographics and comorbidities are most likely to present concurrently in patients with COPD? (2) Are patients with COPD undergoing laparoscopic hysterectomy at increased risk for development of postoperative complications within 30 days? (3) Do patients with COPD have a higher propensity for extended hospital stay or unplanned return to operating room? (4) Does COPD act as an independent risk factor for development of particular postoperative complications within 30 days?

Study Design: This was a retrospective cohort study using data collected from 2005 to 2013 from American College of Surgeons National Surgical Quality Improvement Program Database. All patients who underwent laparoscopic hysterectomies were identified by CPT codes and stratified based on their COPD status. Univariate and Multivariate analyses were done to determine the incidence and frequency of postoperative complications within 30 days of a laparoscopic hysterectomy.

Results: This study included 42,674 patients that underwent laparoscopic hysterectomies (COPD=479 [1.12%]); (no COPD=42195 [98.8%]). Patients with COPD were found to develop more postoperative complications, including pneumonia, reintubation, renal insufficiency and sepsis. COPD was found to be an independent risk factor for the development of these complications. Of note, patients with COPD were found to have extended length of hospital stay.

Conclusion: Our study found that patients with COPD who undergo laparoscopic hysterectomies have a greater risk of developing postoperative complications including pneumonia, reintubation, renal insufficiency and sepsis. The overall occurrence of postoperative complications is low. Gynecologists should take into consideration the COPD status of patients when evaluating their preoperative risk. Overall, the complication rates are relatively low and so the procedure is safe.