D Kokotovic1, H Sjølander2, I Gögenur2, F Helgstrand2. 1. Department of Surgery, Zealand Univeristy Hospital, Lykkebækvej 1, 4600, Køge, Denmark. dunja.kokotovic@hotmail.com. 2. Department of Surgery, Zealand Univeristy Hospital, Lykkebækvej 1, 4600, Køge, Denmark.
Abstract
PURPOSE: Postoperative surgical complications arising from ventral hernia repair have been assessed by a variety of outcome measures. The objective of this study was to correlate the Clavien Dindo Classification (CDC) graded complications with the 30-day readmission rate as early outcome measures in ventral hernia repair. Secondarily, we wanted to investigate whether the risk factors for Clavien Dindo class ≥1 and 30-day readmission were comparable. METHODS: Single-centre retrospective study including all patients (≥18 years) who underwent ventral hernia repair between January 1, 2009 and September 1, 2014 at Zealand University Hospital. Data were obtained from hospital files and the Danish National Patient Registry. A 100% follow-up was obtained. RESULTS: In total, the study included 700 patients (261 patients with incisional hernia repair and 439 patients with umbilical or epigastric hernia repair). There was a significant association between a complication graded by the CDC ≥1 and 30-day readmission for both incisional and umbilical/epigastric hernia repair (p < 0.001). In incisional hernia, larger hernia size was an independent risk factor for CDC ≥1. No independent risk was found for 30-day readmission. Recurrent (vs. primary) hernia repair was an independent risk factors for both CDC ≥1 and 30-day readmission in umbilical/epigastric hernia repair. Furthermore, hernia size 2-7 cm (vs. >2 cm) was a risk factor for CDC ≥1 but not for 30-day readmission in umbilical/epigastric hernia repair. CONCLUSION: Reports on 30-day readmission can be used as a general outcome measure in ventral hernia repair, however CDC provides a more precise and detailed registration of postoperative complications.
PURPOSE: Postoperative surgical complications arising from ventral hernia repair have been assessed by a variety of outcome measures. The objective of this study was to correlate the Clavien Dindo Classification (CDC) graded complications with the 30-day readmission rate as early outcome measures in ventral hernia repair. Secondarily, we wanted to investigate whether the risk factors for Clavien Dindo class ≥1 and 30-day readmission were comparable. METHODS: Single-centre retrospective study including all patients (≥18 years) who underwent ventral hernia repair between January 1, 2009 and September 1, 2014 at Zealand University Hospital. Data were obtained from hospital files and the Danish National Patient Registry. A 100% follow-up was obtained. RESULTS: In total, the study included 700 patients (261 patients with incisional hernia repair and 439 patients with umbilical or epigastric hernia repair). There was a significant association between a complication graded by the CDC ≥1 and 30-day readmission for both incisional and umbilical/epigastric hernia repair (p < 0.001). In incisional hernia, larger hernia size was an independent risk factor for CDC ≥1. No independent risk was found for 30-day readmission. Recurrent (vs. primary) hernia repair was an independent risk factors for both CDC ≥1 and 30-day readmission in umbilical/epigastric hernia repair. Furthermore, hernia size 2-7 cm (vs. >2 cm) was a risk factor for CDC ≥1 but not for 30-day readmission in umbilical/epigastric hernia repair. CONCLUSION: Reports on 30-day readmission can be used as a general outcome measure in ventral hernia repair, however CDC provides a more precise and detailed registration of postoperative complications.
Authors: Mylan T Nguyen; Linda T Li; Stephanie C Hicks; Jessica A Davila; James W Suliburk; Mimi Leong; Lillian S Kao; David H Berger; Mike K Liang Journal: Am J Surg Date: 2013-10-18 Impact factor: 2.565
Authors: Francis Lovecchio; Rebecca Farmer; Jason Souza; Nima Khavanin; Gregory A Dumanian; John Y S Kim Journal: Surgery Date: 2013-12-25 Impact factor: 3.982
Authors: Peder Rogmark; Ulf Petersson; Sven Bringman; Arne Eklund; Emmanuel Ezra; Dan Sevonius; Sam Smedberg; Johanna Osterberg; Agneta Montgomery Journal: Ann Surg Date: 2013-07 Impact factor: 12.969
Authors: F E Muysoms; E B Deerenberg; E Peeters; F Agresta; F Berrevoet; G Campanelli; W Ceelen; G G Champault; F Corcione; D Cuccurullo; A C DeBeaux; U A Dietz; R J Fitzgibbons; J F Gillion; R-D Hilgers; J Jeekel; I Kyle-Leinhase; F Köckerling; V Mandala; A Montgomery; S Morales-Conde; R K J Simmermacher; V Schumpelick; M Smietański; M Walgenbach; M Miserez Journal: Hernia Date: 2013-05-15 Impact factor: 4.739