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Outcomes After Nonobstetric Surgery in Pregnant Patients: A Nationwide Study.
- Source :
-
Mayo Clinic proceedings [Mayo Clin Proc] 2016 Sep; Vol. 91 (9), pp. 1166-72. - Publication Year :
- 2016
-
Abstract
- Objective: To evaluate outcomes after nonobstetric surgical procedures in pregnant patients.<br />Methods: We conducted a retrospective cohort study of 5591 pregnant women who underwent nonobstetric surgical procedures using Taiwan's National Health Insurance Research Database 2008-2012 claims data. Using a propensity score matching procedure, 22,364 nonpregnant women were selected for comparison. Logistic regression was used to calculate the odds ratios (ORs) and 95% CIs of postoperative complications and in-hospital mortality associated with pregnancy.<br />Results: Pregnant women had higher risks of postoperative septicemia (OR=1.75; 95% CI, 1.47-2.07), pneumonia (OR=1.47; 95% CI, 1.01-2.13), urinary tract infection (OR=1.29; 95% CI, 1.08-1.54), and in-hospital mortality (OR=3.94; 95% CI, 2.62-5.92) compared with nonpregnant women. Pregnant women also had longer hospital stays and higher medical expenditures after nonobstetric surgical procedures than controls. Higher rates of postoperative adverse events in pregnant women receiving nonobstetric surgery were noted in all age groups.<br />Conclusion: Surgical patients with pregnancy showed more adverse events, with a risk of in-hospital mortality approximately 4-fold higher after nonobstetric surgery compared with nonpregnant patients. These findings suggest the urgent need to revise the protocols for postoperative care for this population.<br /> (Copyright © 2016 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Adult
Cohort Studies
Female
Follow-Up Studies
Humans
Middle Aged
Odds Ratio
Postoperative Complications epidemiology
Pregnancy
Propensity Score
Retrospective Studies
Socioeconomic Factors
Taiwan epidemiology
Young Adult
Hospital Mortality
Postoperative Complications etiology
Pregnant Women
Surgical Procedures, Operative
Subjects
Details
- Language :
- English
- ISSN :
- 1942-5546
- Volume :
- 91
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Mayo Clinic proceedings
- Publication Type :
- Academic Journal
- Accession number :
- 27594184
- Full Text :
- https://doi.org/10.1016/j.mayocp.2016.06.021