Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/10118
Title: An analysis of deaths related to urological surgery, reviewed by the State Coroner: a case for cardiac vigilance before transurethral prostatectomy.
Authors: Gyomber, Dennis;Lawrentschuk, Nathan;Ranson, David L;Bolton, Damien M
Affiliation: Surgery and Urology, University of Melbourne, Austin Hospital, Heidelberg, Australia.
Issue Date: 1-Apr-2006
Citation: Bju International; 97(4): 758-61
Abstract: To ascertain the frequency of in-hospital deaths after urological surgery in a compulsory reporting setting, and to identify the contributing and potentially reversible factors involved in patients who had had transurethral resection of the prostate (TURP).We reviewed all hospital deaths reported to the State Coroner from Coronial Services Victoria (CSV), Australia, in 2000-2002 to identify those instances associated with urological surgery. These cases were then analysed using methods developed by CSV. Resources available included medical records, police reports, government data on operative procedures and autopsy results.There were 20 in-hospital deaths after urological surgery identified for the 3-year period; most related to pre-existing comorbidities, predominantly ischaemic heart disease. Two episodes of hospital-acquired infection, two instances of technical complication of surgery contributing to death, and one pulmonary embolus were identified. Numerically the largest group of deaths after surgery was patients having TURP, and these deaths represented 0.05% (nine of 17 044) of all TURPs in this period. Most in this group (eight) had an acute myocardial infarction.Death after urological surgery appears to be uncommon; assessing patients for coronary artery disease before urological surgery, particularly TURP, closer cardiovascular monitoring after surgery, and rapid transfer to a coronary care unit if required, may further reduce mortality.
Internal ID Number: 16536768
URI: http://ahro.austin.org.au/austinjspui/handle/1/10118
DOI: 10.1111/j.1464-410X.2006.06039.x
URL: http://www.ncbi.nlm.nih.gov/pubmed/16536768
Type: Journal Article
Subjects: Adolescent
Adult
Aged
Australia.epidemiology
Cause of Death
Female
Hospital Mortality
Humans
Male
Middle Aged
Postoperative Care.standards
Prostatic Diseases.mortality.surgery
Transurethral Resection of Prostate.adverse effects.mortality
Urologic Surgical Procedures.adverse effects.mortality
Appears in Collections:Journal articles

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