Abstract：
BACKGROUND: 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 χ2 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.
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 χ2 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.
摘要：
背景：已知年龄增加与术后发病率和死亡率的风险增加有关，然而,本研究的目的是确定年龄增长是否与择期腹侧疝修补术的手术结局差异相关.
方法：使用2016年至2020年美国外科医生学会NSQIP数据库进行回顾性队列研究。包括的诊断代码是腹腔镜或开放切口或腹侧疝修补术，分为三个年龄组：18-64岁，65-74y,≥75y。采用双变量χ2检验和多变量逻辑回归分析围手术期30天的结局。
结果：我们确定了116,643人进行选择性腹侧或切口疝修补术。与18-64岁和65-74岁年龄组相比，≥75岁的患者明显更有可能发生任何术后并发症，术后以任何理由重新入院，住院时间延长,需要重新手术.
结论：与年轻患者相比，≥75岁的患者择期疝修补术后的围手术期并发症发生率明显更高。
方法：使用2016年至2020年美国外科医生学会NSQIP数据库进行回顾性队列研究。包括的诊断代码是腹腔镜或开放切口或腹侧疝修补术，分为三个年龄组：18-64岁，65-74y,≥75y。采用双变量χ2检验和多变量逻辑回归分析围手术期30天的结局。
结果：我们确定了116,643人进行选择性腹侧或切口疝修补术。与18-64岁和65-74岁年龄组相比，≥75岁的患者明显更有可能发生任何术后并发症，术后以任何理由重新入院，住院时间延长,需要重新手术.
结论：与年轻患者相比，≥75岁的患者择期疝修补术后的围手术期并发症发生率明显更高。
