Research Article

Complications of Common Gynecologic Surgeries among HIV-Infected Women in the United States

Table 3

Estimated percentages with specific complications* and adjusted odds ratios for experiencing complications, by HIV status, among selected gynecological surgeries (United States, 1994–2007).

SurgeryHIV-InfectedHIV-UninfectedaOR (95% CI)**
( undergoing procedure) percentageexperiencing complication( undergoing procedure) percentage experiencing complication

Hysterectomy with concomitant oophorectomy
 Extended length of stay 25.70 13.25
 Transfusion 9.37 3.74
 Anemia due to acute blood loss 5.25 5.75
 Infectious complications 8.83 4.24
Hysterectomy without oophorectomy
 Extended length of stay 31.63 11.45
 Transfusion 8.57 2.98
 Anemia due to acute blood loss 5.40 4.99
 Infectious complications 8.06 3.14
Oophorectomy without hysterectomy
 Extended length of stay 23.49 11.91
 Transfusion 8.86 4.73
 Anemia due to acute blood loss 5.46 5.50
 Infectious complications 11.94 6.19
Salpingectomy for ectopic pregnancy
 Extended length of stay 31.02 11.79
 Transfusion 16.48 9.69
 Anemia due to acute blood loss 13.76 14.36
 Infectious complications
Bilateral tubal sterilization
 Among women with any comorbidity, extended length of stay 29.08 23.12
 Among women with no comorbidity, extended length of stay 32.00 9.22
 Transfusion 5.01 1.62
 Anemia due to acute blood loss 3.59 3.73
 Infectious complications 7.41 2.57
Dilation and curettage
 Extended length of stay 27.68 11.04
 Transfusion 26.15 10.95
 Anemia due to acute blood loss 15.47 9.91
 Infectious complications 6.61 4.31

*We present the 4 complications that were most common in our sample.
**Adjusted for patient age (modeled as continuous), primary payer (private insurance versus other), year of hospitalization (modeled as continuous), and presence of any comorbidity (obesity, diabetes, cardiac condition or hypertension, asthma, anemia, gastrointestinal ulcers, smoking, and alcohol or substance abuse).
No valid model could be generated (i.e., model did not converge).
Infectious complications included urinary tract infection; fever; other postoperative infection; and contaminated or infected blood, other fluid, drug, or biological substance.
Results are presented separately depending on the presence of comorbidity due to statistically significant interaction between HIV status and comorbidity.