PD29-05 WILL ANASTHESIA TYPE AFFECT MORTALITY POST TURP?

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Epidemiology & Evaluation (PD29)1 Apr 2020PD29-05 WILL ANASTHESIA TYPE AFFECT MORTALITY POST TURP? Oussama Darwish*, Daniel Wang, Ali Houjaij, and Nader Nader Oussama Darwish*Oussama Darwish* More articles by this author , Daniel WangDaniel Wang More articles by this author , Ali HoujaijAli Houjaij More articles by this author , and Nader NaderNader Nader More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000893.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Studies have documented the successful use of neuraxial anesthesia (NA) in the setting of transurethral resection of the prostate (TURP), with potential benefits of detecting early cognitive symptoms of irrigation-induced dilutional hyponatremia. In this study, we sought to assess the effect of NA blockade on 30-day mortality by examining the National Surgical Quality Improvement Program (NSQIP) data maintained by the American College of Surgeons. METHODS: ACS-NSQIP data was queried for patients who underwent TURP between the January 2014 and December 2016, which identified a total of 18,007patients, of which 4,101 underwent NA. Cross-tabulation with Chi-square analysis and Kaplan-Meier log-rank tests were used for univariate comparisons. After propensity score (1:1) matching for all confounding variables, NA was compared to all other modalities of anesthesia (OAM) for the frequency of death within 30 days (main endpoint) and other complications. RESULTS: Of the 4101 patients who underwent NA, 18 (0.04%) died within 30 days of surgery. Of the 13906 patients who underwent other methods of anesthesia, 61 (0.04%) patients died within 30 days of surgery. Following 1:1 matching, there was no survival benefit between the NA group (N= 1,323) and the OAM group (N=1,323) within 30 days (P=0.104). Additionally, NA did not affect the frequencies of cardiac, respiratory, renal, venous thromboembolic and bleeding complications after TURP. CONCLUSIONS: Despite theoretical advantages of neuraxial blockade, our study shows that neuraxial blockade has no statistically significant effect on 30-day mortality. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e619-e620 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Oussama Darwish* More articles by this author Daniel Wang More articles by this author Ali Houjaij More articles by this author Nader Nader More articles by this author Expand All Advertisement PDF downloadLoading ...