Complications of Common Gynecologic Surgeries among HIV-Infected Women in the United States

Ana Penman-Aguilar; Maura K. Whiteman; Shanna Cox; Samuel F. Posner; Susan F. Meikle; Athena P. Kourtis; Denise J. Jamieson

doi:10.1155/2012/610876

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Complications of Common Gynecologic Surgeries among HIV-Infected Women in the United States

Journal article

Open access

Peer reviewed

Complications of Common Gynecologic Surgeries among HIV-Infected Women in the United States

Ana Penman-Aguilar, Maura K. Whiteman, Shanna Cox, Samuel F. Posner, Susan F. Meikle, Athena P. Kourtis and Denise J. Jamieson

Infectious diseases in obstetrics and gynecology, Vol.2012, pp.1-8

2012

DOI: 10.1155/2012/610876

PMCID: PMC3362831

PMID: 22675242

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Abstract

Objective. To compare frequencies of complications among HIV-infected and-uninfected women undergoing common gynecological surgical procedures in inpatient settings. Methods. We used 1994–2007 data from the Nationwide Inpatient Sample of the Healthcare Cost and Utilization Project, a nationally representative sample of inpatient hospitalizations. Our analysis included discharge records of women aged ≥15 undergoing hysterectomy, oophorectomy, salpingectomy for ectopic pregnancy, bilateral tubal sterilization, or dilation and curettage. Associations between HIV infection status and surgical complications were evaluated in multivariable logistic regression models, adjusting for key covariates. Results. For each surgery, HIV infection was associated with experiencing ≥1 complication. Adjusted ORs ranged from 2.0 (95% confidence interval (CI): 1.7, 2.2) for hysterectomy with oophorectomy to 3.1 (95% CI: 2.4, 4.0) for bilateral tubal sterilization with no comorbidity present. HIV infection was positively associated with extended length of stay and infectious complications of all of the surgeries examined. For some surgeries, it was positively associated with transfusion and anemia due to acute blood loss. Among HIV-infected women, the odds of infectious and other complications did not decrease between 1994–2000 and 2001–2007. Conclusion. HIV infection was associated with elevated frequencies of complications of gynecologic surgeries in the US, even in the era of HAART.

Details

Title: Subtitle: Complications of Common Gynecologic Surgeries among HIV-Infected Women in the United States
Creators: Ana Penman-Aguilar - National Center for Chronic Disease Prevention and Health Promotion
Maura K. Whiteman - National Center for Chronic Disease Prevention and Health Promotion
Shanna Cox - Centers for Disease Control and Prevention
Samuel F. Posner - National Center for Chronic Disease Prevention and Health Promotion
Susan F. Meikle - Eunice Kennedy Shriver National Institute of Child Health and Human Development
Athena P. Kourtis - Centers for Disease Control and Prevention
Denise J. Jamieson - National Center for Chronic Disease Prevention and Health Promotion
Resource Type: Journal article
Publication Details: Infectious diseases in obstetrics and gynecology, Vol.2012, pp.1-8
DOI: 10.1155/2012/610876
PMID: 22675242
PMCID: PMC3362831
NLM abbreviation: Infect Dis Obstet Gynecol
ISSN: 1064-7449
eISSN: 1098-0997
Language: English
Date published: 2012
Academic Unit: Obstetrics and Gynecology; VPMA - Administration
Record Identifier: 9984446445702771

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