Risk Factors and Impact of Anesthesia Techniques on Myocardial Infarction Following Transurethral Resection of the Prostate

Chang Gung Memorial Hospital115,025 enrolled

Overview

This study examined the risk factors and the influence of the type of anesthetic used during transurethral resection of the prostate (TURP) on subsequent incidence of myocardial infarction (MI).

This study utilized a population-based, nationwide dataset to evaluate the risk factors of MI for patients with benign prostate hypertrophy (BPH) who received TURP. Besides, The study also compared the different effects of general anesthesia (GA) and neuraxial anesthesia (NA) on the incidence of MI within 6 and 12 months after TURP.

Study Type

OBSERVATIONAL

Enrollment

115,025

Conditions

Anesthesia Transurethral Resection of Prostate Syndrome Myocardial Infarction

Interventions

general anesthesia or neuraxial anesthesiaOTHER

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * Patients receiving TURP surgery (1998-2012) Exclusion Criteria: * Patients without anesthesia records * Patients receiving both general and neuraxial anesthesia * Mortality within 12 months of TURP

Outcomes

Primary Outcomes

Postoperative myocardial infarction

Patients experienced myocardial infarction after transurethral resection of the prostate (TURP)

Time frame: within 6 months after the first admission for TURP

Postoperative myocardial infarction

Patients experienced myocardial infarction after transurethral resection of the prostate (TURP)

Time frame: within 12 months after the first admission for TURP

Patient's age (year-old) that developed post-TURP myocardial infarction

We analyze age distribution of patients with post-TURP myocardial infarction

Time frame: within 6 months after the first admission for TURP

Patient's age (year-old) that developed post-TURP myocardial infarction

We analyze age distribution of patients with post-TURP myocardial infarction

Time frame: within 12 months after the first admission for TURP

Number of patients with pre-operative diagnosed Diabetes Mellitus developing post-TURP myocardial infarction

We analyze pre-operative diagnosed Diabetes Mellitus rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 6 months after the first admission for TURP

Number of patients with pre-operative diagnosed Diabetes Mellitus developing post-TURP myocardial infarction

We analyze pre-operative diagnosed Diabetes Mellitus rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 12 months after the first admission for TURP

Number of patients with pre-operative diagnosed disorders of lipoid metabolism developing post-TURP myocardial infarction

Data from ClinicalTrials.gov

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We analyze pre-operative diagnosed disorders of lipoid metabolism rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 6 months after the first admission for TURP

Number of patients with pre-operative diagnosed disorders of lipoid metabolism developing post-TURP myocardial infarction

We analyze pre-operative diagnosed disorders of lipoid metabolism rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 12 months after the first admission for TURP

Number of patients with pre-operative diagnosed gout developing post-TURP myocardial infarction

We analyze pre-operative diagnosed gout rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 6 months after the first admission for TURP

Number of patients with pre-operative diagnosed gout developing post-TURP myocardial infarction

We analyze pre-operative diagnosed gout rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 12 months after the first admission for TURP

Number of patients with pre-operative diagnosed hypertension developing post-TURP myocardial infarction

We analyze pre-operative diagnosed hypertension rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 6 months after the first admission for TURP

Number of patients with pre-operative diagnosed hypertension developing post-TURP myocardial infarction

We analyze pre-operative diagnosed hypertension rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 12 months after the first admission for TURP

Number of patients with pre-operative diagnosed heart disease history developing post-TURP myocardial infarction

We analyze pre-operative diagnosed heart disease rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 6 months after the first admission for TURP

Number of patients with pre-operative diagnosed heart disease history developing post-TURP myocardial infarction

We analyze pre-operative diagnosed heart disease rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 12 months after the first admission for TURP

Number of patients with pre-operative diagnosed stroke history developing post-TURP myocardial infarction

We analyze pre-operative diagnosed stroke rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 6 months after the first admission for TURP

Number of patients with pre-operative diagnosed stroke history developing post-TURP myocardial infarction

We analyze pre-operative diagnosed stroke rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 12 months after the first admission for TURP

Number of patients with pre-operative diagnosed liver cirrhosis history developing post-TURP myocardial infarction

We analyze pre-operative diagnosed liver cirrhosis rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 6 months after the first admission for TURP

Number of patients with pre-operative diagnosed liver cirrhosis history developing post-TURP myocardial infarction

We analyze pre-operative diagnosed liver cirrhosis rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 12 months after the first admission for TURP

Number of patients with pre-operative diagnosed chronic obstructive pulmonary disease developing post-TURP myocardial infarction

We analyze pre-operative diagnosed chronic obstructive pulmonary disease rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 6 months after the first admission for TURP

Number of patients with pre-operative diagnosed chronic obstructive pulmonary disease developing post-TURP myocardial infarction

We analyze pre-operative diagnosed chronic obstructive pulmonary disease rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 12 months after the first admission for TURP

Number of patients with pre-operative diagnosed asthma developing post-TURP myocardial infarction

We analyze pre-operative diagnosed asthma rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 6 months after the first admission for TURP

Number of patients with pre-operative diagnosed asthma developing post-TURP myocardial infarction

We analyze pre-operative diagnosed asthma rate in patients who had myocardial infarction after the surgery of TURP.

Time frame: within 12 months after the first admission for TURP

Secondary Outcomes

Number of patients who had post-operative myocardial infarction after receiving general anesthesia for TURP

Time frame: within 6 months after the first admission for TURP

Number of patients who had post-operative myocardial infarction after receiving neuraxial anesthesia for TURP

Time frame: within 6 months after the first admission for TURP

Number of patients who did not have post-operative myocardial infarction after receiving general anesthesia for TURP

Time frame: within 12 months after the first admission for TURP

Number of patients who did not have post-operative myocardial infarction after receiving neuraxial anesthesia for TURP

Time frame: within 12 months after the first admission for TURP