Deaths Following Cholecystectomy and Herniotomy

Nimptsch, Ulrike; Mansk, Thomasy

doi:10.3238/arztebl.2015.0535

Cited by 21 publications

(7 citation statements)

References 25 publications

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“…Esto puede obedecer al hecho de que esta población tiende a presentar otras comorbilidades al momento de la cirugía, como se evidencia en un estudio realizado en población colombiana, en el que los mayores de 65 años tenían con mayor frecuencia condiciones como hipertensión arterial, diabetes mellitus y clasificación ASA III-IV al momento de ser llevados a colecistectomía 8 . Nimptsch et al, en 2015 encontraron que el riesgo de morir luego de una colecistectomía es 10 veces mayor en pacientes mayores de 65 años que en personas jóvenes 9 .…”

Section: Discussionunclassified

Mortalidad perioperatoria y volumen quirúrgico de colecistectomías en el régimen contributivo en Colombia

2021

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Introducción. La patología biliar es una causa frecuente de intervención quirúrgica, Pero en Colombia no se cuenta con datos oficiales de mortalidad ni volumen quirúrgico asociados a este procedimiento. El objetivo de este estudio fue determinar el volumen de colecistectomías y describir la tasa general de mortalidad perioperatoria en seis regiones geográficas del país, en el periodo de 2012 a 2016. Métodos. Estudio de cohortes retrospectivo que incluyó pacientes mayores de 18 años, afiliados al régimen contributivo de salud, llevados a colecistectomía. Se utilizó la base de datos de suficiencia de la Unidad de Pago por Capitación (UPC), la base de estadísticas vitales del Departamento Administrativo Nacional de Estadística (DANE) y la del Sistema Integrado de Información de la Protección Social (SISPRO). Resultados. Durante el periodo de estudio, se realizaron 192.080 colecistectomías, lo que corresponde a 206 colecistectomías por 100.000 habitantes. Se encontró mayor volumen quirúrgico en personas entre los 65 y 80 años, en el sexo femenino y en la ciudad de Bogotá. La mortalidad perioperatoria encontrada correspondió al 0,6 %, siendo mayor en los pacientes de sexo masculino, de edad avanzada, en aquellos en quienes se practicó laparotomía y en los pacientes operados en la ciudad de Bogotá. Discusión. De acuerdo con los hallazgos, esta investigación puede servir de base para estudios posteriores, que muestren claramente las cifras oficiales de volumen quirúrgico y de mortalidad por colecistectomía en Colombia.

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Section: Discussionunclassified

Mortalidad perioperatoria y volumen quirúrgico de colecistectomías en el régimen contributivo en Colombia

2021

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“…In our series, the crude mortality rate was 1.1%, significantly higher among patients who presented with HF (12.9%) than among those who did not (1%) ( p < 0.001). Previous studies have also demonstrated a strong association in patients with heart failure or dilated cardiomyopathy, whose risk of death is 3.6 times higher than that of patients for whom no such comorbidity is coded [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Heart Failure Is a Poor Prognosis Risk Factor in Patients Undergoing Cholecystectomy: Results from a Spanish Data-Based Analysis

Marco-Martínez

Elola

Fernández-Pérez

et al. 2021

JCM

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Background: The incidence of cholecystectomy is increasing as the result of the aging worldwide. Our aim was to determine the influence of heart failure on in-hospital outcomes in patients undergoing cholecystectomy in the Spanish National Health System (SNHS). Methods: We conducted a retrospective study using the Spanish National Hospital Discharge Database. Patients older than 17 years undergoing cholecystectomy in the period 2007–2015 were included. Demographic and administrative variables related to patients’ diseases as well as procedures were collected. Results: 478,111 episodes of cholecystectomy were identified according to the data from SNHS hospitals in the period evaluated. From all the episodes, 3357 (0.7%) were excluded, as the result the sample was represented by 474,754 episodes. Mean age was 58.3 (+16.5) years, and 287,734 (60.5%) were women (p < 0.001). A primary or secondary diagnosis of HF was identified in 4244 (0.89%) (p < 0.001) and mean age was 76.5 (+9.6) years. A higher incidence of all main complications studied was observed in the HF group (p < 0.001), except stroke (p = 0.753). Unadjusted in-hospital mortality was 1.1%, 12.9% in the group with HF versus 1% in the non HF group (p < 0.001). Average length of hospital stay was 5.4 (+ 8.9) days, and was higher in patients with HF (16.2 + 17.7 vs. 5.3 + 8.8; p < 0.001). Risk-adjusted in-hospital mortality models’ discrimination was high in both cases, with AUROC values = 0.963 (0.960–0.965) in the APRG-DRG model and AUROC = 0.965 (0.962–0.968) in the CMS adapted model. Median odds ratio (MOR) was high (1.538 and 1.533, respectively), stating an important variability of risk-adjusted outcomes among hospitals. Conclusions: The presence of HF during admission increases in hospital mortality and lengthens the hospital stay in patients undergoing cholecystectomy. However, mortality and hospital stay have significantly decreased during the study period in both groups (HF and non HF patients).

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“…The operation for which the patients were scheduled was just a minor surgical procedure [13]. Still, their fear should not be underestimated, especially in view of the fact that deaths after cholecystectomy or hernia repair do occur, although they are rare [16]. It is understandable then that some of our subjects declared to be in mortal fear.…”

Section: Discussionmentioning

confidence: 99%

Impact of Medical TV Shows on Preprocedural Fear of Surgical In-House Patients

Witzel¹,

Koch²,

Kaminski³

2017

Eur Surg Res

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Background and Hypotheses: The growing number of medical television series and the increasing amount of time people spend watching TV will have an influence on what they expect from their treatment in a hospital. We suspect that reality as presented in the media and the actual reality of hospitals are not always conceived of as two different worlds. Many medical TV shows present dramatic, life-threatening operations much more often than they occur in reality. Patients who frequently watch such shows might be induced to believe that even routine operations are often dangerous, which could result in higher levels of fear before such an operation. We suspect then that there is a significant relation between preoperative levels of fear and TV viewing habits. Methods: A standardized questionnaire was used to interview 162 in-house patients who had come to the hospital for an elective standard operation in a German hospital. They were interviewed 1-2 days prior to operation and shortly before discharge from hospital. The questions aimed at their social situation, their TV viewing habits with special consideration of medical TV shows, and the patients' preprocedural fear. Results: The links between levels of education, age, and gender on the one hand, and viewing habits on the other, which have been shown in cultivation research, are supported by our findings. Approximately 50% reported a relevant anxiety level above 4 (on a scale of 0-10). There is a significant association between levels of fear and TV viewing habits. Thirteen subjects (8%) indicated that they suffered the highest imaginable degree of fear, all of them frequent watchers of medical TV shows. Frequent viewers of medical TV shows were definitely more scared than all other patients (p = 0.039). The preoperative level of fear was highest in the age group of under 40 years and significantly lower (p = 0.0042) in the age group of over 70 years. Conclusion: The assumed effects of cultivation with in-house patients caused by watching TV series could be shown to be statistically significant. Watching medical TV shows increases the patients' preoperative fear.

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Deaths Following Cholecystectomy and Herniotomy

Cited by 21 publications

References 25 publications

Mortalidad perioperatoria y volumen quirúrgico de colecistectomías en el régimen contributivo en Colombia

Mortalidad perioperatoria y volumen quirúrgico de colecistectomías en el régimen contributivo en Colombia

Heart Failure Is a Poor Prognosis Risk Factor in Patients Undergoing Cholecystectomy: Results from a Spanish Data-Based Analysis

Impact of Medical TV Shows on Preprocedural Fear of Surgical In-House Patients

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