Urogynecology
Conditions
Brief summary
The purpose of this study is to establish normal postoperative changes in blood pressure in women undergoing scheduled gynecologic surgery requiring inpatient postoperative care. Also, to establish if there is a difference in normal postoperative blood pressure changes between elderly and non-elderly women undergoing scheduled gynecologic surgery requiring inpatient postoperative care.
Interventions
None listed
Sponsors
University of Rochester
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Women who underwent scheduled gynecologic surgery requiring inpatient postoperative care between January 2007 - January 2008
Exclusion criteria
* Women who experienced myocardial infarction, cardiac arrest or failure, pulmonary embolism, infection requiring intravenous antibiotics, intra- or postoperative hemorrhage requiring blood transfusion, renal failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Who Underwent Gynecologic Surgery | January 2007 to January 2008 | 491 women were included in analysis. Measure is categorized by the type of surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Women With Asymptomatic Hypotension | 1 year | % women with asymptomatic hypotension |
| Percentage of Participants Undergoing Different Types of Anesthesia | January 2007 to January 2008 | Patients were given either general, regional or local-modified anesthesia care (LO-MAC). Some of the patients ended up getting both general and regional anesthesia (sometimes anesthesia team decides to add regional for postop pain control). |
| Surgical Time | January 2007 to January 2008 | Length of surgery |
Countries
United States
Participant flow
Pre-assignment details
This was a chart review study. 37 participants were not analyzed because the data in their chart was not available.
Participants by arm
| Arm | Count |
|---|---|
| Women Who Underwent Gyneologic Surgery All women who underwent inpatient Gynecologic surgery between Jan 2007 and 2008. | 491 |
| Total | 491 |
Baseline characteristics
| Characteristic | Women Who Underwent Gyneologic Surgery |
|---|---|
| Age, Continuous | 50 years |
| depression/anxiety | 159 participants |
| Diabetes | 26 participants |
| Gastroesophageal Reflux Disease | 185 participants |
| Hypertension | 163 participants |
| Postmenopausal | 169 participants |
| Region of Enrollment United States | 491 participants |
| Sex: Female, Male Female | 491 Participants |
| Sex: Female, Male Male | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 |
Outcome results
Primary
Percentage of Participants Who Underwent Gynecologic Surgery
491 women were included in analysis. Measure is categorized by the type of surgery.
Time frame: January 2007 to January 2008
Population: 491 women were included in analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Women Who Underwent Scheduled Gynecologic Surgery | Percentage of Participants Who Underwent Gynecologic Surgery | abdominal | 42 percentage of participants |
| Women Who Underwent Scheduled Gynecologic Surgery | Percentage of Participants Who Underwent Gynecologic Surgery | laparoscopic | 32 percentage of participants |
| Women Who Underwent Scheduled Gynecologic Surgery | Percentage of Participants Who Underwent Gynecologic Surgery | vaginal | 26 percentage of participants |
Secondary
Percentage of Participants Undergoing Different Types of Anesthesia
Patients were given either general, regional or local-modified anesthesia care (LO-MAC). Some of the patients ended up getting both general and regional anesthesia (sometimes anesthesia team decides to add regional for postop pain control).
Time frame: January 2007 to January 2008
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Women Who Underwent Scheduled Gynecologic Surgery | Percentage of Participants Undergoing Different Types of Anesthesia | general | 92 percentage of participants |
| Women Who Underwent Scheduled Gynecologic Surgery | Percentage of Participants Undergoing Different Types of Anesthesia | local | 4 percentage of participants |
| Women Who Underwent Scheduled Gynecologic Surgery | Percentage of Participants Undergoing Different Types of Anesthesia | LO-MAC | 6 percentage of participants |
Secondary
Percentage of Women With Asymptomatic Hypotension
% women with asymptomatic hypotension
Time frame: 1 year
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Women Who Underwent Scheduled Gynecologic Surgery | Percentage of Women With Asymptomatic Hypotension | < 65 years of age | 22.8 percentage of participants |
| Women Who Underwent Scheduled Gynecologic Surgery | Percentage of Women With Asymptomatic Hypotension | 65 years or older | 17.7 percentage of participants |
Secondary
Surgical Time
Length of surgery
Time frame: January 2007 to January 2008
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Women Who Underwent Scheduled Gynecologic Surgery | Surgical Time | 146 minutes |