Complication Rates after Endometrial Ablation in Ontario: A Cohort Analysis of 76 446 Patients
| Autor: | Jacob McGee, Christopher Vinden, Sara Ilnitsky, Basim Abu-Rafea, George A. Vilos, Andrew McClure, Angelos G. Vilos |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Ontario
medicine.medical_specialty Hysterectomy business.industry medicine.medical_treatment Obstetrics and Gynecology Retrospective cohort study Emergency department Hysteroscopy Cohort Studies Dysfunctional uterine bleeding Internal medicine Management of uterine bleeding Cohort medicine Endometrial ablation Humans Female Complication business Menorrhagia Abdominal surgery Cohort study Endometrial Ablation Techniques Retrospective Studies |
| Zdroj: | Paediatrics Publications |
| ISSN: | 1553-4669 |
| Popis: | Study Objectives: Endometrial ablation (EA) is an alternative to hysterectomy for the management of heavy menstrual bleeding; however, EA is not without risk. Our objective was to determine complication rates in women undergoing EA in the province of Ontario over a 15-year time period. The primary outcome was a composite of multiple complications within 30 to 180 days of surgery. The secondary outcomes included mortality, length of hospital stay, hospital readmission, and emergency department visit within 30 days of discharge. Design: Retrospective cohort study using Cochran-Armitage test for trend. Setting: Administrative data from the Canadian province of Ontario, assessing patients undergoing surgery in a publicly funded healthcare system. Patients: Women in Ontario undergoing a primary EA over a 15-year time period. Interventions: The intervention was a primary EA. Measurements and Main Results: We assessed for genitourinary complication, fistula, gastrointestinal complication, pain, control of bleeding, blood transfusion, infectious complication, venous thromboembolism, fluid overload, thermal injury, and other injuries related to surgery. The secondary outcomes included 1-month and 6-month mortality, length of hospital stay, hospital readmission, and emergency department visit within 30 days of discharge. A total of 76 446 primary EAs were evaluated from 2002 to 2017, with the number of EAs per year increasing over the study period by 47%. Complications were seen in 4.8% of the cohort, with the complication rate being relatively stable over time. Although 6.2% of the cohort re-presented to the emergency department |
| Databáze: | OpenAIRE |
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