Journal article
Morbidity of appendectomy and cholecystectomy in pregnant and nonpregnant women
Obstetrics and gynecology (New York. 1953), Vol.118(6), pp.1261-1270
12/01/2011
DOI: 10.1097/AOG.0b013e318234d7bc
PMID: 22105255
Abstract
Objective: To use the data from the American College of Surgeons (ACS) National Surgical Quality Improvement Program to estimate major postoperative morbidity after 1) appendectomy in pregnant compared with nonpregnant women; and 2) cholecystectomy in pregnant compared with nonpregnant women.
Methods: We selected a cohort of reproductive-aged women undergoing appendectomy and cholecystectomy between 2005 and 2009 from the data files of the ACS National Surgical Quality Improvement Program. Outcomes in pregnant women were compared with those in nonpregnant women. The primary outcome was composite 30-day major postoperative complications. Pregnancy-specific complications were not assessed and thus not addressed.
Results: Pregnant and nonpregnant women had similar composite 30-day major morbidity after appendectomy (3.9% [33 of 857] compared with 3.1% [593 of 19,172], P=.212) and cholecystectomy (1.8% [eight of 436] compared with 1.8% [584 of 32,479], P=.954). Pregnant women were more likely to have preoperative systemic infections before each procedure. In logistic regression analysis, pregnancy status was not predictive of increased postoperative morbidity for appendectomy (adjusted odds ratio 1.26, 95% confidence interval 0.87-1.82).
Conclusion: Pregnancy does not increase the occurrence of postoperative maternal morbidity related to appendectomy and cholecystectomy.
Details
- Title: Subtitle
- Morbidity of appendectomy and cholecystectomy in pregnant and nonpregnant women
- Creators
- Mark T. Silvestri - Yale UniversityChristian M. Pettker - Yale UniversityE. Christine Brousseau - Yale UniversityMadeline A. Dick - Yale UniversityMaria M. Ciarleglio - Yale UniversityElisabeth A. Erekson - Yale University
- Resource Type
- Journal article
- Publication Details
- Obstetrics and gynecology (New York. 1953), Vol.118(6), pp.1261-1270
- DOI
- 10.1097/AOG.0b013e318234d7bc
- PMID
- 22105255
- NLM abbreviation
- Obstet Gynecol
- ISSN
- 0029-7844
- eISSN
- 1873-233X
- Number of pages
- 10
- Grant note
- UL1RR024139 / National Center for Research Resources (http://data.elsevier.com/vocabulary/SciValFunders/100000097)
- Language
- English
- Date published
- 12/01/2011
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9985244553902771
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