O057 The impact of urgency of umbilical hernia repair on adverse outcomes in patients with cirrhosis: a population-based cohort study from England
| Autor: | A Adiamah, A Rashid, C Crooks, J Hammond, P Jepsen, J West, D J Humes |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | British Journal of Surgery. 110 |
| ISSN: | 1365-2168 0007-1323 |
| DOI: | 10.1093/bjs/znad101.057 |
| Popis: | Introduction Umbilical hernia is common in patients with cirrhosis, however, there is a paucity of dedicated studies on postoperative outcomes in this group of patients. This population-based cohort study aimed to determine the outcomes after emergency and elective umbilical hernia repair in patients with cirrhosis. Methods Two linked electronic healthcare databases from England were used to identify all patients undergoing umbilical hernia repair between January 2000 and December 2017. Patients were grouped into those with and without cirrhosis and stratified by severity into compensated and decompensated cirrhosis. Length of stay, readmission, 90-day case fatality rate and the odds ratio of 90-day postoperative mortality were defined using logistic regression. Results In total, 22163 patients were included who underwent an umbilical hernia repair and 297 (1.34%) had cirrhosis. More patients without cirrhosis had an elective procedure 86% compared with 51% of those with cirrhosis (P Conclusion Emergency umbilical hernia repair in patients with cirrhosis is associated with poorer outcomes in terms of length of stay, re-admissions, and mortality at 90-days. |
| Databáze: | OpenAIRE |
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