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Cited by 177Pelvic floor disorders treatmentsCardiac, Anesthesia and Surgical OutcomesUterine Myomas and Treatments

Effect of patient age on increasing morbidity and mortality following urogynecologic surgery

Sung, Vivian W., Weitzen, Sherry, Sokol, Eric R., Rardin, Charles R., Myers, Deborah L.·2006·American Journal of Obstetrics and Gynecology
DOI 10.1016/j.ajog.2006.01.050
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Abstract

Objective The purpose of this study was to estimate the effect of age on the risk of in-hospital mortality and morbidity following urogynecologic surgery and to compare risks associated with obliterative versus reconstructive procedures for prolapse in elderly women.Study design We conducted a retrospective cohort study utilizing data from 1998 to 2002 from the Nationwide Inpatient Sample. Multivariable logistic regression was performed to obtain odds ratios estimating the effect of age on risk of death and complications, adjusting for comorbidities and demographic factors.Results There were 264,340 women in our study population. Increasing age was associated with higher mortality risks per 1000 women (< 60 years, 0.1; 60-69 years, 0.5; 70-79 years, 0.9; > or = 80 years, 2.8; P < .01) and higher complication risks per 1000 women (< 60 years, 140; 60-69 years, 130; 70-79 years, 160; > or = 80 years, 200; P < .01). Using multivariable logistic regression, increasing age was associated with an increased risk of death (60-69 years, odds ratio [OR] 3.4 [95% CI 1.7-6.9]; 70-79 years, OR 4.9 [95% CI 2.2-10.9]; > or = 80 years, OR 13.6 [95% CI 5.9-31.4]), compared with women < 60 years. The risk of peri-operative complications was also higher in elderly women 80 years of age and older (OR 1.4 [95% CI 1.3-1.5]) compared with younger women. Elderly women 80 years and over who underwent obliterative procedures had a lower risk of complication compared with those who underwent reconstructive procedures for prolapse (17.0% vs 24.7%, P < .01).Conclusion Although the absolute risk of death is low, elderly women have a higher risk of mortality and morbidity following urogynecologic surgery.

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Authors
Sung, V. W., Weitzen, S., Sokol, E. R., Rardin, C. R., & Myers, D. L.
Affiliations
Brown University (US)
ORCID
Venue
American Journal of Obstetrics and Gynecology
Publisher
Elsevier BV
Published
2006-05
Volume
194
Issue
5
Pages
1411-1417
ISSN
0002-9378 (ISSN-L)
DOI
10.1016/j.ajog.2006.01.050
OpenAlex
W2059926618
Cited by
177
References
25
Citations by year
2026: 3 · 2025: 12 · 2024: 9 · 2023: 11 · 2022: 3 · 2021: 11 · 2020: 16 · 2019: 13 · 2018: 8 · 2017: 16 · 2016: 15 · 2015: 10 · 2014: 12 · 2013: 4 · 2012: 5
FWCI
3.74
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • American Journal of Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Child Health and Human Development
Topics
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac, Anesthesia and Surgical Outcomes
  • Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
Keywords
patient age, older women, urogynecologic surgery, postoperative mortality, postoperative complications, pelvic organ prolapse, surgical risk
MeSH terms
Aged, Aged, 80 and over, Aging, Female, Humans, Intraoperative Complications, Middle Aged, Postoperative Complications, Retrospective Studies, Urogenital Surgical Procedures, Uterine Prolapse, Cohort Studies, Logistic Models, Risk Assessment, Plastic Surgery Procedures

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