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Mortality after gynaecologic operations in Finland, 1986-1991
1Department of Obstetrics and Gynaecology, University Central Hospital of Turku, Finland.
British Journal of Obstetrics and Gynaecology
|January 1, 1995
Summary
Gynecologic surgery in Finland shows very low mortality rates, with hysterectomy outcomes improving over time. These findings indicate that conventional gynecologic operations are safe for patients.
Area of Science:
- Gynecology
- Public Health
- Epidemiology
Background:
- Gynaecologic procedures are common worldwide.
- Assessing mortality rates is crucial for patient safety and healthcare quality.
Purpose of the Study:
- To determine in-hospital, 30-day, and 42-day mortality rates for gynaecologic procedures in Finland.
- To specifically analyze mortality associated with hysterectomy.
Main Methods:
- A nationwide, six-year study (1986-1991) utilizing Finnish national registers.
- Inclusion of 299,257 gynaecologic operations.
- Calculation of overall and age-adjusted mortality rates at different time points post-operation.
Main Results:
- Overall mortality rates for hysterectomy increased from 6.0 during hospitalization to 12.9 at 42 days post-operation.
- Radical hysterectomy, curettage, and non-sterilization laparoscopy had higher 42-day mortality than hysterectomy.
- Laparoscopic sterilization demonstrated zero mortality; deaths in other procedures were often in older patients due to cancer.
Conclusions:
- Mortality rates following gynaecologic procedures in Finland are low and have decreased.
- Conventional gynaecologic operations are considered safe.