Improving quality of care: development of a risk-adjusted perioperative morbidity model for vaginal hysterectomy

Christine A. Heisler, Giovanni D. Aletti, Amy L. Weaver, L. Joseph Melton, William A. Cliby, John B. Gebhart

Research output: Contribution to journalArticle

Abstract

Objective: We sought to develop and evaluate a risk-adjusted perioperative morbidity model for vaginal hysterectomy. Study Design: Medical records of women who underwent vaginal hysterectomy during 2004 and 2005 were retrospectively reviewed. Morbidity included hospital readmission, reoperation, and unplanned medical intervention or intensive care unit admission; urinary tract infections were excluded. Multivariate logistic regression identified factors associated with perioperative morbidity (adjusted for urinary tract infection). The resulting model was validated using a random 2006 sample. Results: Of 712 patients, 139 (19.5%) had morbidity associated with congestive heart failure or prior myocardial infarction, perioperative hemoglobin decrease >3.1 g/dL, preoperative hemoglobin 3.1 g/dL, or preoperative hemoglobin

Original languageEnglish
JournalAmerican Journal of Obstetrics and Gynecology
Volume202
Issue number2
DOIs
Publication statusPublished - Feb 2010

Keywords

  • perioperative morbidity
  • risk adjustment
  • vaginal hysterectomy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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