Loss of independence after emergency inguinal hernia repair in elderly patients: How aggressive should we be? - 10/02/22
Abstract |
Background |
Loss of independence (LOI) assesses patient quality of life after surgery and is associated with increased readmission and death. This paper compares LOI among the elderly who received elective versus emergent inguinal hernia repair.
Methods |
The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) Participant User Files from 2015 to 2017 were reviewed for inguinal hernia repairs in patients 70-years-old or older. Chi-square analysis, Student t-test, and backwards multivariate logistic analysis were performed appropriately.
Results |
Patients undergoing elective open or laparoscopic repair were less likely to experience LOI (OR 0.061, CI 0.035–0.106) and (OR 0.052 CI 0.024–0.113), respectively, and they were less likely to experience mortality (OR 0.07, CI 0.026–0.185) and (OR 0.059, CI 0.015–0.229), respectively.
Conclusions |
Significant debility occurs following emergency inguinal hernia repair in elderly patients. Elective surgery may be indicated more often in order to reduce emergencies and LOI in elderly patients.
Le texte complet de cet article est disponible en PDF.Graphical abstract |
Highlights |
• | Loss of independence measures and assesses patient quality of life after surgery. |
• | It is strongly associated with increased readmission and death after discharge. |
• | Elderly patients present significant debility after emergency inguinal hernia repair. |
• | Elderly patients may benefit more from elective rather than emergency surgery. |
• | Elective repair is associated with reduced emergencies and loss of independence. |
Keywords : Inguinal, Hernia, Emergency, Elective, Elderly, Surgery
Plan
Vol 223 - N° 2
P. 370-374 - février 2022 Retour au numéro
Article précédent
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