METHODS: This study is a single-centre comparative retrospective study including patients who had repair of IH. Patients were divided into Group I (Emergency) and Group II (Elective), and a comparison was conducted between them.
RESULTS: Two hundred sixty-two patients were identified with a mean age of 61.8 ± 14.2 years, of which 152 (58%) were females. The mean BMI was 31.6 ± 7.2 kg/m2. More than 58% had at least one comorbidity. 169 (64.5%) patients had an elective repair, and 93 (35.5%) had an emergency repair. Patients undergoing emergency repair were significantly older and had higher BMI, p = 0.031 and p = 0.002, respectively. The significant complication rate (Clavien-Dindo III and IV) was 9.54%. 30 and 90-day mortality rates were 2.3% (n = 6) and 2.68% (n = 7), respectively. In the emergency group, the overall complications, 30-day and 90-day mortality rates were significantly higher than in the elective group, p ≤ 0.001, 0.002 and 0.001, respectively. Overall, 42 (16.1%) developed wound complications, 25 (9.6%) experienced a recurrence, and 41 (15.71%) were readmitted within 90 days, without significant differences between the two groups.
CONCLUSIONS: Patients who underwent emergency repair were significantly older and had a higher BMI than the elective cases. Emergency IH repair is associated with higher complication rates and mortality than elective repair.
方法:本研究是一项单中心回顾性对比研究,包括IH修复患者。患者分为I组(急诊)和II组(选择性),并在它们之间进行了比较。
结果:确定了200名患者,平均年龄为61.8±14.2岁,其中152人(58%)为女性。平均BMI为31.6±7.2kg/m2。超过58%有至少一种合并症。169例(64.5%)患者接受了选择性修复,93人(35.5%)接受了紧急维修。接受紧急修复的患者年龄明显较大,BMI较高,分别为p=0.031和p=0.002。显著并发症发生率(Clavien-DindoIII和IV)为9.54%。30天和90天死亡率分别为2.3%(n=6)和2.68%(n=7),分别。在紧急小组中,整体并发症,30天和90天的死亡率明显高于选修组,p分别≤0.001、0.002和0.001。总的来说,42(16.1%)出现伤口并发症,25(9.6%)经历了复发,41例(15.71%)在90天内再次入院,两组之间无显著差异。
结论:接受急诊修复的患者明显年龄较大,BMI高于择期病例。急诊IH修复比选择性修复具有更高的并发症发生率和死亡率。