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International Urogynecology Journal

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01-07-2020 | Urinary Tract Infection | Original Article

Perioperative adverse events in women over age 65 undergoing robot-assisted sacrocolpopexy

Authors: Christopher X. Hong, Priyanka K. Halani, Naomi Gutkind, Heidi S. Harvie, Lily A. Arya, Uduak U. Andy

Published in: International Urogynecology Journal | Issue 7/2020

Abstract

Introduction and hypothesis

Pelvic floor disorders are common among and disproportionately affect older women. There are limited data regarding perioperative adverse events in older women undergoing robot-assisted sacrocolpopexy (RASC) specifically. The aim of this study was to compare the rate of perioperative adverse events in younger (age <65 years) versus older (age >65 years) women who underwent RASC.

Methods

We conducted a retrospective cohort study of women who underwent RASC between 2013 and 2018. Postoperative adverse events were categorized according to the Clavien–Dindo classification. Our primary outcome was the rate of intraoperative adverse events and postoperative adverse events with Clavien–Dindo grade II or greater. Outcomes were compared using univariate and multivariate analysis.

Results

Of the 327 patients included in the study, 227 were <65 years of age and 100 were ≥65 years of age. Women ≥65 years of age had higher rates of hypertension, higher American Society of Anesthesiologist (ASA) class, and higher Charlson Comorbidity Index (CCI) scores compared with women <65 years of age; these were not associated with increased likelihood of adverse events. The overall rate of any perioperative adverse event was 18.3%. There was no statistically significant difference in the overall rate of perioperative adverse events between younger and older women (18.5% vs 18.0%, p = 0.91).

Conclusions

There is no difference in rate of adverse events between women ≥65 years of age undergoing RASC and their younger counterparts.

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Title: Perioperative adverse events in women over age 65 undergoing robot-assisted sacrocolpopexy
Authors: Christopher X. Hong
Priyanka K. Halani
Naomi Gutkind
Heidi S. Harvie
Lily A. Arya
Uduak U. Andy
Publication date: 01-07-2020
Publisher: Springer International Publishing
Keywords: Urinary Tract Infection
Sacrocolpopexy
Published in: International Urogynecology Journal / Issue 7/2020
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-019-04180-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Perioperative adverse events in women over age 65 undergoing robot-assisted sacrocolpopexy

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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