Fix it while you can
Mortality after umbilical hernia repair in cirrhotic patients.
Am J Surg
; 220(6): 1402-1404, 2020 12.
Article
in En
| MEDLINE
| ID: mdl-32988606
ABSTRACT
BACKGROUND:
We hypothesize that patients with compensated cirrhosis undergoing elective UHR have an improved mortality compared to those undergoing emergent UHR.METHOD:
The NIS was queried for patients undergoing UHR by CPT code, and ICD-10 codes were used to define separate patient categories of non-cirrhosis (NC), compensated cirrhosis (CC) and decompensated cirrhosis (DC).RESULTS:
A total of 32,526 patients underwent UHR, 97% no cirrhosis, 1.1% compensated cirrhosis, 1.7% decompensated cirrhosis. On logistic regression, cirrhosis was found to be independently associated with mortality (OR 2.841, CI 2.14-3.77). On subset analysis of only cirrhosis patients, elective repair was found to be protective from mortality (OR 0.361, CI 0.15-0.87, p = 0.02).CONCLUSIONS:
In this retrospective review, cirrhosis as well as emergent UHR in cirrhotic patients were independently associated with mortality. More specifically, electively (rather than emergently) repairing an umbilical hernia in cirrhotic patients was independently associated with a 64% reduction in mortality.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Herniorrhaphy
/
Hernia, Umbilical
/
Liver Cirrhosis
Type of study:
Observational_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Am J Surg
Year:
2020
Document type:
Article