دورية أكاديمية
أعرض في EDS

Operative management of non-elective incisional hernia reduces readmission in a national database.

التفاصيل البيبلوغرافية
العنوان: Operative management of non-elective incisional hernia reduces readmission in a national database.
المؤلفون: Nigh J; Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), 4301 West Markham St. Slot 520-1, Little Rock, AR, 72205, USA., Wade DJ; Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), 4301 West Markham St. Slot 520-1, Little Rock, AR, 72205, USA., Rives GT; Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), 4301 West Markham St. Slot 520-1, Little Rock, AR, 72205, USA., Karim SA; Department of Health Administration, College of Health Professions, Virginia Commonwealth University, Richmond, VA, USA., Bhavaraju A; Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), 4301 West Markham St. Slot 520-1, Little Rock, AR, 72205, USA., Kimbrough MK; Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), 4301 West Markham St. Slot 520-1, Little Rock, AR, 72205, USA., Reif RJ; Department of Health Policy and Management, Fay W. Boozman College of Public Health, Little Rock, AR, 72205, USA., Sexton KW; Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), 4301 West Markham St. Slot 520-1, Little Rock, AR, 72205, USA.; Department of Health Policy and Management, Fay W. Boozman College of Public Health, Little Rock, AR, 72205, USA.; Department of Biomedical Informatics, College of Medicine, University of Arkansas, Little Rock, AR, USA., Jensen HK; Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), 4301 West Markham St. Slot 520-1, Little Rock, AR, 72205, USA. hkjensen@uams.edu.
المصدر: Hernia : the journal of hernias and abdominal wall surgery [Hernia] 2023 Jun; Vol. 27 (3), pp. 541-547. Date of Electronic Publication: 2022 Jun 28.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: France NLM ID: 9715168 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1248-9204 (Electronic) Linking ISSN: 12489204 NLM ISO Abbreviation: Hernia Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Paris, France : Springer, c1997-
مواضيع طبية MeSH: Incisional Hernia*/surgery , Laparoscopy* , Hernia, Ventral*/surgery, Humans ; Male ; Retrospective Studies ; Patient Readmission ; Herniorrhaphy/adverse effects ; Herniorrhaphy/methods ; Hospitalization
مستخلص: Purpose: The aim of this project was to compare patient characteristics, overall efficacy, and readmission events following operative vs non-operative management modalities of non-elective patients presenting with symptomatic incisional hernias.
Methods: This study is a retrospective study of patients and patient demographics that presented as non-elective hospitalizations with symptomatic incisional hernia. Analysis of patients and characteristics utilized the National Readmission Database from 2010 to Q3 of 2015, delineating patient factors and outcomes following operative or non-operative management of hernias.
Results: A total of 14,137 patients met inclusion criteria for our study. The majority of patients were treated operatively rather than non-operatively (79 vs. 21%) on their non-elective admission for incisional hernia. Those undergoing surgical management were younger (56 vs 61 years, p < 0.01), we more often of male gender (69 vs 64%, p < 0.01), and had fewer comorbidities (1.92 vs 2.97, p < 0.01) and chronic conditions (0.45 vs 2.68, p < 0.01). Patients managed operatively had a significantly lower readmission rate when compared to patients managed non-operatively (6.6 vs 14.3%, p < 0.01). However, non-operative management was associated with a shorter length of stay (3 vs 4 days, p < 0.01). Of patients who were initially medically managed and had to be readmitted, a further 61% underwent surgical treatment on their readmission.
Conclusion: In this nationwide study, patients with non-elective admissions for incisional hernia were mostly managed surgically. Those managed operatively had lower rates of readmission when compared to non-operative management. Initial non-operative management was associated with a shorter length of stay and a lower cost to the patient. The results of this study support operative management of symptomatic incisional hernia.
(© 2022. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
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فهرسة مساهمة: Keywords: Hernia repair; Incisional hernia; Operative management; Readmission
تواريخ الأحداث: Date Created: 20220628 Date Completed: 20230529 Latest Revision: 20230530
رمز التحديث: 20240829
DOI: 10.1007/s10029-022-02643-5
PMID: 35764698
قاعدة البيانات: MEDLINE
الوصف
تدمد:1248-9204
DOI:10.1007/s10029-022-02643-5