Defining risk factors for mortality after emergent hiatal hernia repair in the era of minimally invasive surgery.
Publication/Presentation Date
6-1-2023
Abstract
BACKGROUND: Risk factors for mortality following emergent hiatal hernia (HH) repair in the era of minimally invasive surgery remain poorly defined.
METHODS: Data was obtained from the National Inpatient Sample (NIS), National Readmissions Database, and National Emergency Department Sample for patients undergoing HH repair between 2010 and 2018. Univariate and multivariate logistic regression analyses reported with odds ratio (OR) and 95% confidence intervals (CI) were performed to identify factors associated mortality.
RESULTS: Via the NIS, mortality rate was 2.2% (147 patients). Via the NEDS, the mortality rate was 3.6% (303 patients). On multivariate analysis, predictors of mortality included age (OR 1.05, CI: 1.04,1.07), male sex (OR 1.49, CI: 1.06,2.11), frailty (OR 2.49, CI: 1.65,3.75), open repair (OR 3.59, CI: 2.50,5.17), and congestive heart failure (OR 2.71, CI: 1.81,4.06).
CONCLUSIONS: There are multiple risk factors for mortality after hiatal hernia repair. There is merit to a laparoscopic approach even in emergent settings.
Volume
225
Issue
6
First Page
1056
Last Page
1061
ISSN
1879-1883
Published In/Presented At
Collins, M. L., Mack, S. J., Till, B. M., Whitehorn, G. L., Tofani, C., Chojnacki, K., Grenda, T., Evans, N. R., 3rd, & Okusanya, O. T. (2023). Defining risk factors for mortality after emergent hiatal hernia repair in the era of minimally invasive surgery. American journal of surgery, 225(6), 1056–1061. https://doi.org/10.1016/j.amjsurg.2023.01.012
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
36653267
Department(s)
Administration and Leadership
Document Type
Article