Carney Martin J, Weissler Jason M, Fox Justin P, Tecce Michael G, Hsu Jesse Y, Fischer John P
Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Department of Biostatistics, Wharton School of the University of Pennsylvania, Philadelphia, PA, USA.
Am J Surg. 2017 Aug;214(2):287-292. doi: 10.1016/j.amjsurg.2017.01.001. Epub 2017 Jan 12.
Incisional hernia (IH) represents a complex and costly surgical complication. We aim to address trends in open surgery to better understand potential drivers of hernia risk.
Using the 2009-2013 NIS, a cross-sectional review of hospital discharges associated with an open abdominal surgery was performed.
Between 2009 and 2013, there were nearly 10 million discharges associated with an open abdominal surgery. Overall, there were 2,140,616 patients receiving open surgery in 2009, decreasing to 1,760,549 in 2013 (18% decrease, p < 0.001). Open hernia procedures increased from 37,325 patients in 2009 to 41,845 in 2013 (12% increase, p = 0.001). The most prevalent comorbidities within this population included uncomplicated hypertension (25.26%), chronic pulmonary diseases (13.52%), obesity (10.24%), uncomplicated diabetes (11.06%), and depression (10.72%).
Our analysis allowed for a unique view of surgical trends, health care population dynamics, and an opportunity to use evidence-driven analytics in the understanding of IH.
切口疝（IH）是一种复杂且代价高昂的手术并发症。我们旨在探讨开放手术的趋势，以更好地了解疝风险的潜在驱动因素。
利用2009 - 2013年国家住院样本（NIS），对与开放性腹部手术相关的医院出院病例进行横断面回顾。
2009年至2013年期间，有近1000万例出院病例与开放性腹部手术相关。总体而言，2009年有2140616例患者接受开放手术，到2013年降至1760549例（下降18%，p < 0.001）。开放性疝手术从2009年的37325例患者增加到2013年的41845例（增加12%，p = 0.001）。该人群中最常见的合并症包括单纯性高血压（25.26%）、慢性肺部疾病（13.52%）、肥胖症（10.24%）、单纯性糖尿病（11.06%）和抑郁症（10.72%）。
我们的分析提供了一个独特的视角，有助于了解手术趋势、医疗保健人群动态，并为利用循证分析理解切口疝提供了契机。
