Correlating complications of transurethral complications of prostate using the Charlson’s Comorbidity Index

Introduction: Ageing is a continuous, universal and progressive process associated with an increasing incidence of comorbidities. Benign Enlargement of Prostate (BEP) is major cause of morbidity in the ageing men. Transurethral Resection of Prostate (TURP) is the Gold Standard for patients with BEP...

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Autores principales:	Aditya Kumar, Bhoj Raj Luitel, Uttam Kumar Sharma
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Benign Enlargement of Prostate Charlson’s Comorbidity Index Modified Clavien Classification System Transurethral Resection of Prostate Surgery RD1-811
Acceso en línea:	https://doaj.org/article/c9ec0eea2c0f48c0a60e2e399b5205a7
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spelling	oai:doaj.org-article:c9ec0eea2c0f48c0a60e2e399b5205a72021-12-05T19:16:30ZCorrelating complications of transurethral complications of prostate using the Charlson’s Comorbidity Index10.3126/jssn.v18i3.153171815-39842392-4772https://doaj.org/article/c9ec0eea2c0f48c0a60e2e399b5205a72016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15317https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Ageing is a continuous, universal and progressive process associated with an increasing incidence of comorbidities. Benign Enlargement of Prostate (BEP) is major cause of morbidity in the ageing men. Transurethral Resection of Prostate (TURP) is the Gold Standard for patients with BEP and delivers durable outcomes, however, is associated with morbidity and mortality.This study was conducted to analyze the correlation of these comorbidities in ageing men with the incidence of complications of TURP. Objective: To report and grade operative complications of TURP using Modified Clavien Classification System (MCCS) and analyze whether Charlson Comorbidity Index (CCI) predicts complications after TURP. Methods: This is a prospective analytical study of 77 patients diagnosed as Benign Prostatic Hyperplasia (BPH) undergoing TURP over one year at Tribhuvan University Teaching Hospital. Preoperative morbidity was classified using Charlsons Comorbidity and postoperative complications were graded according to Modified Clavien Classification System (MCCS) into five grades (Grades I, II, IIIa, IIIb, IVa, IVb and V) according to severity followed till 90 days after TURP. Results: Fourteen out of seventy seven (18.2%) patients developed postoperative complications. CCI Scores of <1 were observed in 73 (94.8%) and >2 in 4 (5.2%) patients, constituting the bulk of 93%, Grade IV complications were 7% and no mortality was observed. Patients with higher CCI scores showed statistically significant increase in the grade of postoperative complication and positively correlated to MCCS (ρ of .295; p value <0.009). Conclusion: Men with higher CCI scores have significantly higher grade of postoperative complications. Aditya KumarBhoj Raj LuitelUttam Kumar SharmaSociety of Surgeons of NepalarticleBenign Enlargement of ProstateCharlson’s Comorbidity IndexModified Clavien Classification SystemTransurethral Resection of ProstateSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Benign Enlargement of Prostate Charlson’s Comorbidity Index Modified Clavien Classification System Transurethral Resection of Prostate Surgery RD1-811
spellingShingle	Benign Enlargement of Prostate Charlson’s Comorbidity Index Modified Clavien Classification System Transurethral Resection of Prostate Surgery RD1-811 Aditya Kumar Bhoj Raj Luitel Uttam Kumar Sharma Correlating complications of transurethral complications of prostate using the Charlson’s Comorbidity Index
description	Introduction: Ageing is a continuous, universal and progressive process associated with an increasing incidence of comorbidities. Benign Enlargement of Prostate (BEP) is major cause of morbidity in the ageing men. Transurethral Resection of Prostate (TURP) is the Gold Standard for patients with BEP and delivers durable outcomes, however, is associated with morbidity and mortality.This study was conducted to analyze the correlation of these comorbidities in ageing men with the incidence of complications of TURP. Objective: To report and grade operative complications of TURP using Modified Clavien Classification System (MCCS) and analyze whether Charlson Comorbidity Index (CCI) predicts complications after TURP. Methods: This is a prospective analytical study of 77 patients diagnosed as Benign Prostatic Hyperplasia (BPH) undergoing TURP over one year at Tribhuvan University Teaching Hospital. Preoperative morbidity was classified using Charlsons Comorbidity and postoperative complications were graded according to Modified Clavien Classification System (MCCS) into five grades (Grades I, II, IIIa, IIIb, IVa, IVb and V) according to severity followed till 90 days after TURP. Results: Fourteen out of seventy seven (18.2%) patients developed postoperative complications. CCI Scores of <1 were observed in 73 (94.8%) and >2 in 4 (5.2%) patients, constituting the bulk of 93%, Grade IV complications were 7% and no mortality was observed. Patients with higher CCI scores showed statistically significant increase in the grade of postoperative complication and positively correlated to MCCS (ρ of .295; p value <0.009). Conclusion: Men with higher CCI scores have significantly higher grade of postoperative complications.
format	article
author	Aditya Kumar Bhoj Raj Luitel Uttam Kumar Sharma
author_facet	Aditya Kumar Bhoj Raj Luitel Uttam Kumar Sharma
author_sort	Aditya Kumar
title	Correlating complications of transurethral complications of prostate using the Charlson’s Comorbidity Index
title_short	Correlating complications of transurethral complications of prostate using the Charlson’s Comorbidity Index
title_full	Correlating complications of transurethral complications of prostate using the Charlson’s Comorbidity Index
title_fullStr	Correlating complications of transurethral complications of prostate using the Charlson’s Comorbidity Index
title_full_unstemmed	Correlating complications of transurethral complications of prostate using the Charlson’s Comorbidity Index
title_sort	correlating complications of transurethral complications of prostate using the charlson’s comorbidity index
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/c9ec0eea2c0f48c0a60e2e399b5205a7
work_keys_str_mv	AT adityakumar correlatingcomplicationsoftransurethralcomplicationsofprostateusingthecharlsonscomorbidityindex AT bhojrajluitel correlatingcomplicationsoftransurethralcomplicationsofprostateusingthecharlsonscomorbidityindex AT uttamkumarsharma correlatingcomplicationsoftransurethralcomplicationsofprostateusingthecharlsonscomorbidityindex
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Correlating complications of transurethral complications of prostate using the Charlson’s Comorbidity Index

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