Details

Autor(en) / Beteiligte

• Poulose, Benjamin K.
• Gosen, Christine
• Marks, Jeffrey M.
• Khaitan, Leena
• Rosen, Michael J.
• Onders, Raymond P.
• Trunzo, Joseph A.
• Ponsky, Jeffrey L.

Titel

Inpatient Mortality Analysis of Paraesophageal Hernia Repair in Octogenarians

Ist Teil von

• Journal of gastrointestinal surgery, 2008-11, Vol.12 (11), p.1888-1892

Ort / Verlag

New York: Springer-Verlag

Erscheinungsjahr

2008

Quelle

MEDLINE

Beschreibungen/Notizen

• Introduction Paraesophageal hernia repair is often performed in an elderly population. Few studies have evaluated perioperative mortality in this group. We identified predictors of inpatient mortality using a nationally representative sample. Methods Patients ≥80 years old undergoing transabdominal paraesophageal hernia repair were identified in the 2005 Nationwide Inpatient Sample. Congenital diaphragmatic defects and traumatic injuries were excluded. Results One thousand five discharges (73% female) with mean age 84.7 met inclusion criteria. Mean length of stay was 10.1 days (95% confidence interval 8.9–11.3) with a mortality of 8.2%. Non-elective repair was performed in 43%. For these patients, mortality and mean length of stay (16%; 14.3 days) were increased compared to elective repair (2.5%; 7.0 days, p  < 0.05). Non-elective repair was the sole predictor of inpatient mortality in adjusted analyses (odds ratio 7.1, 95% confidence interval 1.9–26.3, p  < 0.05). Conclusion Non-elective repair was associated with a six to sevenfold increase in mortality and longer length of stay. Earlier elective repair of paraesophageal hernia may reduce mortality.