Anesthesia, Myocardial Infarction, Transurethral Resection of Prostate Syndrome
Conditions
Brief summary
This study examined the risk factors and the influence of the type of anesthetic used during transurethral resection of the prostate (TURP) on subsequent incidence of myocardial infarction (MI).
Detailed description
This study utilized a population-based, nationwide dataset to evaluate the risk factors of MI for patients with benign prostate hypertrophy (BPH) who received TURP. Besides, The study also compared the different effects of general anesthesia (GA) and neuraxial anesthesia (NA) on the incidence of MI within 6 and 12 months after TURP.
Interventions
OTHERgeneral anesthesia or neuraxial anesthesia
Sponsors
Chang Gung Memorial Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Inclusion criteria
* Patients receiving TURP surgery (1998-2012)
Exclusion criteria
* Patients without anesthesia records * Patients receiving both general and neuraxial anesthesia * Mortality within 12 months of TURP
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients with pre-operative diagnosed asthma developing post-TURP myocardial infarction | within 6 months after the first admission for TURP | We analyze pre-operative diagnosed asthma rate in patients who had myocardial infarction after the surgery of TURP. |
| Number of patients with pre-operative diagnosed heart disease history developing post-TURP myocardial infarction | within 6 months after the first admission for TURP | We analyze pre-operative diagnosed heart disease rate in patients who had myocardial infarction after the surgery of TURP. |
| Number of patients with pre-operative diagnosed stroke history developing post-TURP myocardial infarction | within 6 months after the first admission for TURP | We analyze pre-operative diagnosed stroke rate in patients who had myocardial infarction after the surgery of TURP. |
| Number of patients with pre-operative diagnosed liver cirrhosis history developing post-TURP myocardial infarction | within 6 months after the first admission for TURP | We analyze pre-operative diagnosed liver cirrhosis rate in patients who had myocardial infarction after the surgery of TURP. |
| Number of patients with pre-operative diagnosed chronic obstructive pulmonary disease developing post-TURP myocardial infarction | within 6 months after the first admission for TURP | We analyze pre-operative diagnosed chronic obstructive pulmonary disease rate in patients who had myocardial infarction after the surgery of TURP. |
| Postoperative myocardial infarction | within 6 months after the first admission for TURP | Patients experienced myocardial infarction after transurethral resection of the prostate (TURP) |
| Patient's age (year-old) that developed post-TURP myocardial infarction | within 6 months after the first admission for TURP | We analyze age distribution of patients with post-TURP myocardial infarction |
| Number of patients with pre-operative diagnosed Diabetes Mellitus developing post-TURP myocardial infarction | within 6 months after the first admission for TURP | We analyze pre-operative diagnosed Diabetes Mellitus rate in patients who had myocardial infarction after the surgery of TURP. |
| Number of patients with pre-operative diagnosed disorders of lipoid metabolism developing post-TURP myocardial infarction | within 6 months after the first admission for TURP | We analyze pre-operative diagnosed disorders of lipoid metabolism rate in patients who had myocardial infarction after the surgery of TURP. |
| Number of patients with pre-operative diagnosed gout developing post-TURP myocardial infarction | within 6 months after the first admission for TURP | We analyze pre-operative diagnosed gout rate in patients who had myocardial infarction after the surgery of TURP. |
| Number of patients with pre-operative diagnosed hypertension developing post-TURP myocardial infarction | within 6 months after the first admission for TURP | We analyze pre-operative diagnosed hypertension rate in patients who had myocardial infarction after the surgery of TURP. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients who had post-operative myocardial infarction after receiving neuraxial anesthesia for TURP | within 6 months after the first admission for TURP | Number of patients who had post-operative myocardial infarction after receiving neuraxial anesthesia for TURP |
| Number of patients who did not have post-operative myocardial infarction after receiving general anesthesia for TURP | within 12 months after the first admission for TURP | Number of patients who did not have post-operative myocardial infarction after receiving general anesthesia for TURP |
| Number of patients who did not have post-operative myocardial infarction after receiving neuraxial anesthesia for TURP | within 12 months after the first admission for TURP | Number of patients who did not have post-operative myocardial infarction after receiving neuraxial anesthesia for TURP |
| Number of patients who had post-operative myocardial infarction after receiving general anesthesia for TURP | within 6 months after the first admission for TURP | Number of patients who had post-operative myocardial infarction after receiving general anesthesia for TURP |
Outcome results
None listed