Paul L. Foster School of Medicine, Texas Tech Health Science Center El Paso, TX, USA.
Department of Surgery, Texas Tech University Health Science Center El Paso, TX, USA.
Am J Surg. 2024 Jul;233:108-113. doi: 10.1016/j.amjsurg.2024.02.030. Epub 2024 Feb 23.
Increasing age is known to be associated with increased risk for postoperative morbidity and mortality, however, the goal of this study was to determine if an increase in age correlates to differences in surgical outcomes for elective ventral hernia repair.
Retrospective cohort study using American College of Surgeons NSQIP database from 2016 to 2020. Included diagnosis codes were laparoscopic or open incisional or ventral hernia repairs, categorized into three age groups: 18-64y, 65-74y, and ≥75y. Thirty-day perioperative outcomes analyzed using bivariate χ test and multivariate logistic regression.
We identified 116,643 people who had elective ventral or incisional hernia repair. Compared to 18-64y and 65-74y age groups, patients ≥75y were significantly more likely to develop any post-operative complication, be re-admitted post-operatively for any reason, have an extended hospital stay, and require a reoperation.
Patients ≥75y have significantly higher rates of perioperative complications after elective hernia repair compared to younger patients.
众所周知，随着年龄的增长，术后发病率和死亡率的风险也会增加，但本研究的目的是确定年龄的增加是否与择期腹疝修补术的手术结果存在差异有关。
使用美国外科医师学会 NSQIP 数据库进行回顾性队列研究，时间范围为 2016 年至 2020 年。纳入的诊断代码包括腹腔镜或开放式切口或腹疝修复术，并分为三个年龄组：18-64 岁、65-74 岁和≥75 岁。使用双变量 χ 检验和多变量逻辑回归分析 30 天围手术期结果。
我们确定了 116643 例接受择期腹疝或切口疝修复的患者。与 18-64 岁和 65-74 岁年龄组相比，≥75 岁的患者发生任何术后并发症、因任何原因术后再次入院、住院时间延长和需要再次手术的可能性显著更高。
与年轻患者相比，≥75 岁的患者在择期疝修补术后围手术期并发症的发生率明显更高。
