Short-Term Postoperative Functional Outcomes in Older Women Undergoing Prolapse Surgery
Short-Term Postoperative Functional Outcomes in Older Women Undergoing Prolapse Surgery
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DOI：
10.1097/aog.0000000000000644
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发表时间：
2015-03-01
影响因子：
7.2
通讯作者：
Arya, Lily A.
中科院分区：
文献类型：
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作者：
Greer, Joy A.;Harvie, Heidi S.;Arya, Lily A.
目的：评估术前功能状态标志物是否可预测老年女性盆腔器官脱垂（POP）手术后的功能结局。方法：对60岁或60岁以上的女性进行脱垂手术的前瞻性队列研究。术前功能状态通过功能限制的数量（如行走或攀爬困难）、美国麻醉医师协会分级、贫血和近期体重减轻史进行测量。我们的主要结局是术后功能限制的数量，次要结局是术后功能状态未能恢复到基线和住院时间。我们使用单变量和多变量回归分析确定术前功能状态标志物与术后结果的相关性。在127名妇女中，术前功能受限的存在是0.55（95%置信区间[CI] 0.36-0.74）控制年龄后术后功能受限的数量增加，术前功能限制、合并症、抑郁、外科医生、手术类型和并发症的数量（P
OBJECTIVE: To evaluate whether preoperative markers of functional status predict postoperative functional outcomes in older women undergoing surgery for pelvic organ prolapse (POP).METHODS: Prospective cohort study of women aged 60 years or older who underwent surgery for prolapse. Preoperative functional status was measured using number of functional limitations (such as difficulty walking or climbing), American Society of Anesthesiologists class, anemia, and history of recent weight loss. Our primary outcome was the number of postoperative functional limitations and secondary outcomes were failure to return to baseline functional status and length of stay after surgery. We determined the association of preoperative functional status markers with postoperative outcomes using univariable and multivariable regression.RESULTS: In 127 women, presence of a preoperative functional limitation was a significant predictor of a 0.55 (95% confidence interval [CI] 0.36-0.74) increase in the number of postoperative functional limitations after controlling for age, number of preoperative functional limitations, comorbidities, depression, surgeon, type of procedure, and complications (P