PD32-11 EVALUATING THE ASSOCIATION OF FRAILTY AND RACIAL AND SOCIOECONOMIC DISPARITIES ON POST-OPERATIVE COMPLICATIONS AMONG PATIENTS UNDERGOING APICAL PELVIC ORGAN PROLAPSE PROCEDURES

Abstract

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Pelvic Prolapse (PD32)1 Sep 2021PD32-11 EVALUATING THE ASSOCIATION OF FRAILTY AND RACIAL AND SOCIOECONOMIC DISPARITIES ON POST-OPERATIVE COMPLICATIONS AMONG PATIENTS UNDERGOING APICAL PELVIC ORGAN PROLAPSE PROCEDURES Sirpi Nackeeran, Alejandra Guevara, Camilo Acosta, Laura Martin, Raveen Syan, and Katherine Amin Sirpi NackeeranSirpi Nackeeran More articles by this author , Alejandra GuevaraAlejandra Guevara More articles by this author , Camilo AcostaCamilo Acosta More articles by this author , Laura MartinLaura Martin More articles by this author , Raveen SyanRaveen Syan More articles by this author , and Katherine AminKatherine Amin More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002033.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Up to 19% of women will undergo pelvic organ prolapse (POP) surgery. Frailty, an important perioperative factor, has been previously studied in this population. However, the socioeconomic factors that are associated frailty and postoperative complications are unknown. We sought to determine the association between socioeconomic factors, frailty, and postoperative complications among patients who underwent POP repair surgery. METHODS: This is a retrospective cohort study of the 2016-2017 National Inpatient Sample from the Healthcare Cost and Utilization Project. We analyzed relationships between frailty, as determined by the Hospital Frailty Risk Score (HFRS), a predictive tool based on ICD-10 codes, socioeconomic factors, and postoperative complications in women undergoing apical POP repair. Frailty was defined as HFRS >5. Multiple logistic regression models were used for statistical analysis. RESULTS: We identified 9,028 women who underwent POP repair, of which 12.7% were frail, and 12.2% had complications. Regression analysis revealed protective factors against frailty were Black (0.70, 0.53-0.92), Hispanic (0.66, 0.54-0.80), Asian, and Pacific Islander, Native American, or Other (0.78, 0.60-1.00) race, rural hospital (0.50, 0.36-0.69), and small/medium hospital bed size (0.80, 0.70-0.91). Risk factors for frailty were medicare payer status (1.34, 1.12-1.60) and age (1.03, 1.02-1.03). Independent risk factors for complications were frailty (5.77, 4.97-6.70), medicare payer status (1.57, 1.30-1.90), and rural hospital location (1.31, 1.01-1.69). CONCLUSIONS: Significant predictors of frailty among women undergoing POP surgery are white race, older age, medicare payer status, and large, urban hospital location. Although frailty and medicare payer status were associated with complications, race and hospital size were not. Paradoxically, patients at rural hospitals were more likely to experience complications despite being less frail overall. © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e549-e549 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sirpi Nackeeran More articles by this author Alejandra Guevara More articles by this author Camilo Acosta More articles by this author Laura Martin More articles by this author Raveen Syan More articles by this author Katherine Amin More articles by this author Expand All Advertisement Loading ...