E-Posters-10161

10161_Sheyn
Pdf Summary
This study aimed to determine the incidence and risk factors for cardiac arrest and myocardial infarction (MI) within 30 days of pelvic reconstructive surgery (PRS). The study included 46,367 women who underwent PRS between 2010 and 2015. The incidence of MI or cardiac arrest (MICA) was low, with 0.11% of women experiencing MICA. Of these, 73.4% had MI and 26.6% had cardiac arrest requiring CPR. There were five deaths in the entire cohort, with two not associated with a cardiac complication. The mean time to MI was 4.42 days from surgery, and the mean time to cardiac arrest was 3.15 days.<br /><br />Several factors were associated with an increased risk of MICA, including age over 70 years, length of stay over one day, dependent functional status, hypertension, ASA class 3, and inpatient status. The risk of MICA was higher in women undergoing colpocleisis compared to abdominal colpopexy, but this difference did not persist in multivariable regression analysis.<br /><br />The study concludes that the incidence of MI and cardiac arrest after PRS is low, but with the expected rise in these procedures in an aging population, further prospective studies are needed to better understand this risk.<br /><br />This study adds to the limited data available on cardiac morbidity following PRS and provides insight into the incidence and risk factors for MICA. By identifying these risk factors, clinicians can make informed decisions and take appropriate measures to minimize the occurrence of these complications in patients undergoing PRS.
Keywords
cardiac arrest
myocardial infarction
pelvic reconstructive surgery
incidence
risk factors
MICA
CPR
deaths
age