Advancing geriatric surgical outcomes in elective ventral and incisional hernia repair surgeries: An American college of surgeons national surgical quality improvement program study.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0370473 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1883 (Electronic) Linking ISSN: 00029610 NLM ISO Abbreviation: Am J Surg Subsets: MEDLINE
    • Publication Information:
      Publication: Belle Mead, NJ : Excerpta Medica
      Original Publication: New York.
    • Subject Terms:
      Elective Surgical Procedures*/statistics & numerical data ; Hernia, Ventral*/surgery ; Herniorrhaphy*/statistics & numerical data ; Herniorrhaphy*/methods ; Herniorrhaphy*/adverse effects ; Postoperative Complications*/epidemiology ; Incisional Hernia*/surgery ; Quality Improvement*; Humans ; Middle Aged ; Female ; Male ; Retrospective Studies ; Aged ; Adult ; United States/epidemiology ; Adolescent ; Young Adult ; Age Factors ; Treatment Outcome
    • Abstract:
      Introduction: 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.
      Methods: 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 2 test and multivariate logistic regression.
      Results: 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.
      Conclusions: Patients ≥75y have significantly higher rates of perioperative complications after elective hernia repair compared to younger patients.
      Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
      (Copyright © 2024 Elsevier Inc. All rights reserved.)
    • Contributed Indexing:
      Keywords: 75 and older; Hernia; NSQIP; Older adults; Postoperative complications
    • Publication Date:
      Date Created: 20240305 Date Completed: 20240610 Latest Revision: 20240610
    • Publication Date:
      20240611
    • Accession Number:
      10.1016/j.amjsurg.2024.02.030
    • Accession Number:
      38443271