The impact of pre-operative anemia in women undergoing elective hysterectomy and myomectomy: a population-based cohort study
CANSAGE ePoster Library. Murji A. 09/27/19; 275239; eP-106
Ally Murji
Ally Murji
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Objectives:To evaluate if pre-operative anemia in women undergoing a hysterectomy/myomectomy has an effect on 30-day morbidity and mortality. Methods:We studied a retrospective population-based cohort of adult women (age>=18) who underwent elective hysterectomy or myomectomy (laparoscopic/laparotomy) between 2013-2015 for benign indications. Linkage was performed across 8 databases: Discharge Abstract Database, National Ambulatory Care Reporting System, Same Day Surgery, Physician Billings Database, Corporate Provider Database, Registered Persons Database, Ontario Cancer Registry, and Ontario Laboratories Information System. Exposure: Pre-operative anemia (hemoglobin55 years versus <=55, N=736), older women were at increased risk of the primary outcome (RR 1.40, 95%CI 1.12-1.76, p=0.004), transfusion (RR 4.2, 95%CI 1.65-10.72, p=0.003), SSI (RR 1.35, 95%CI 1.01-1.81, p=0.04) and return to hospital (RR 2.36, 95%CI 1.54-3.62, p<0.0001).ConclusionsPre-operative anemia in women undergoing elective hysterectomy/myomectomy was common (23%) and associated with increased risk of 30-day post-operative morbidity and mortality, especially in older women.
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