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[PMID]:29368827
[Au] Autor:Akbar SR; Ahmed US; Iqbal HI
[Ti] Título:Review of Hyperkalemia in End Stage Renal Disease.
[So] Source:W V Med J;112(6):34-8, 2016 Nov-Dec.
[Is] ISSN:0043-3284
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Potassium balance is maintained in the body by balancing the intake with the excretion and the transcellular shifts of potassium. Excretion of potassium is mainly renal as the contribution of the colon to the net potassium secretion of the colon to the net potassium secretion is trivial in patients with normal renal function. As the majority of potassium excretion is renal, it is not surprising to note that patients with end stage renal disease (ESRD) are at an increased risk of developing hyperkalemia in ESRD patients has been estimated to be 3-5%. Maintenance of a stable serum potassium level in patients with ESRD is crucial. We will review the various measures for the management and prevention of hyperkalemia in ESRD patients such as dietary restrictions, dialysis and drugs enhancing extra renal elimination of potassium.
[Mh] Termos MeSH primário: Hiperpotassemia/sangue
Hiperpotassemia/terapia
Falência Renal Crônica/sangue
Falência Renal Crônica/terapia
Diálise Renal
[Mh] Termos MeSH secundário: Idoso
Gluconato de Cálcio/uso terapêutico
Complicações do Diabetes/terapia
Dietoterapia/métodos
Emergências
Seres Humanos
Hipoglicemiantes/uso terapêutico
Insulina/uso terapêutico
Masculino
Diálise Renal/métodos
Fatores de Risco
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Hypoglycemic Agents); 0 (Insulin); SQE6VB453K (Calcium Gluconate)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE


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[PMID]:28462597
[Au] Autor:Dias RD; Scalabrini Neto A
[Ad] Endereço:a STRATUS Center for Medical Simulation , Brigham and Women's Hospital, Harvard Medical School , Boston , MA , USA.
[Ti] Título:Acute stress in residents during emergency care: a study of personal and situational factors.
[So] Source:Stress;20(3):241-248, 2017 May.
[Is] ISSN:1607-8888
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Providing care for simulated emergency patients may induce considerable acute stress in physicians. However, the acute stress provoked in a real-life emergency room (ER) is not well known. Our aim was to assess acute stress responses in residents during real emergency care and investigate the related personal and situational factors. A cross-sectional observational study was carried out at an emergency department of a tertiary teaching hospital. All second-year internal medicine residents were invited to voluntarily participate in this study. Acute stress markers were assessed at baseline (T1), before residents started their ER shift, and immediately after an emergency situation (T2), using heart rate, systolic, and diastolic blood pressure, salivary α-amylase activity, salivary interleukin-1 ß, and the State-Trait Anxiety Inventory (STAI-s and STAI-t). Twenty-four residents were assessed during 40 emergency situations. All stress markers presented a statistically significant increase between T1 and T2. IL-1 ß presented the highest percent increase (141.0%, p < .001), followed by AA (99.0%, p = .002), HR (81.0%, p < .001), DBP (8.0%, p < .001), and SBP (3.0%, p < .001). In the multivariable analysis, time of residency had a negative correlation with HR during the emergency (adjusted R-square = .168; F = 8.69; p = .006), SBP response (adjusted R-square = .210; F = 6.19; p = .005) and DBP response (adjusted R-square = .293; F = 9.09; p = .001). Trait anxiety (STAI-t) was positively correlated with STAI-s (adjusted R-square = .326; F = 19.9; p < .001), and number of procedures performed during emergency care had a positive association with HR response (adjusted R-square = .241; F = 5.02; p = .005). In the present study, emergency care provoked substantial acute stress in residents. Resident experience, trait anxiety, and number of emergency procedures were independently associated with acute stress response.
[Mh] Termos MeSH primário: Ansiedade/fisiopatologia
Pressão Sanguínea
Serviço Hospitalar de Emergência
Frequência Cardíaca
Internato e Residência
Estresse Ocupacional/fisiopatologia
Médicos/psicologia
Estresse Psicológico/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Ansiedade/metabolismo
Ansiedade/psicologia
Estudos Transversais
Emergências
Feminino
Seres Humanos
Interleucina-1beta/metabolismo
Medicina Interna/educação
Masculino
Estresse Ocupacional/metabolismo
Estresse Ocupacional/psicologia
Saliva/química
alfa-Amilases Salivares/metabolismo
Estresse Psicológico/metabolismo
Estresse Psicológico/psicologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Interleukin-1beta); EC 3.2.1.1 (Salivary alpha-Amylases)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1080/10253890.2017.1325866


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[PMID]:29360875
[Au] Autor:Campillo-Artero C; Serra-Burriel M; Calvo-Pérez A
[Ad] Endereço:Centre for Research in Health and Economics, Universitat Pompeu Fabra, Barcelona, Spain.
[Ti] Título:Predictive modeling of emergency cesarean delivery.
[So] Source:PLoS One;13(1):e0191248, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To increase discriminatory accuracy (DA) for emergency cesarean sections (ECSs). STUDY DESIGN: We prospectively collected data on and studied all 6,157 births occurring in 2014 at four public hospitals located in three different autonomous communities of Spain. To identify risk factors (RFs) for ECS, we used likelihood ratios and logistic regression, fitted a classification tree (CTREE), and analyzed a random forest model (RFM). We used the areas under the receiver-operating-characteristic (ROC) curves (AUCs) to assess their DA. RESULTS: The magnitude of the LR+ for all putative individual RFs and ORs in the logistic regression models was low to moderate. Except for parity, all putative RFs were positively associated with ECS, including hospital fixed-effects and night-shift delivery. The DA of all logistic models ranged from 0.74 to 0.81. The most relevant RFs (pH, induction, and previous C-section) in the CTREEs showed the highest ORs in the logistic models. The DA of the RFM and its most relevant interaction terms was even higher (AUC = 0.94; 95% CI: 0.93-0.95). CONCLUSION: Putative fetal, maternal, and contextual RFs alone fail to achieve reasonable DA for ECS. It is the combination of these RFs and the interactions between them at each hospital that make it possible to improve the DA for the type of delivery and tailor interventions through prediction to improve the appropriateness of ECS indications.
[Mh] Termos MeSH primário: Cesárea
[Mh] Termos MeSH secundário: Adulto
Área Sob a Curva
Cesárea/estatística & dados numéricos
Cesárea/utilização
Tomada de Decisões
Emergências
Feminino
Hospitais Públicos
Seres Humanos
Recém-Nascido
Funções Verossimilhança
Modelos Logísticos
Gravidez
Estudos Prospectivos
Fatores de Risco
Espanha
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191248


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[PMID]:27778168
[Au] Autor:Docimo S; Lee Y; Chatani P; Rogers AM; Lacqua F
[Ad] Endereço:Division of Bariatric, Foregut, and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook Medicine, Stony Brook, NY, USA. sdocimo@gmail.com.
[Ti] Título:Visceral to subcutaneous fat ratio predicts acuity of diverticulitis.
[So] Source:Surg Endosc;31(7):2808-2812, 2017 Jul.
[Is] ISSN:1432-2218
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: There is an association between obesity and more complicated diverticular disease. We hypothesize that this link may be due to an increased level of visceral fat rather than an elevated body mass index alone. Adipose tissue secretes inflammatory cytokines, and chronic inflammation may account for the link between obesity and a more severe presentation of diverticular disease. We have applied a quantitative measure of visceral fat content in a series of patients admitted with diverticulitis, comparing those who required emergent versus elective surgical procedures for diverticulitis. METHODS: We performed a retrospective review of all adult patients who underwent emergent or elective surgery at our institution for diverticulitis from 2010 to 2014. Data were collected on demographics, comorbidities, operative findings, complications, and length of stay. Radiologic measurements of adiposity were obtained from preoperative CT scans. Visceral fat areas and subcutaneous fat areas were measured, and the V/S ratio was calculated. RESULTS: Thirty-four patients underwent emergent and 32 patients underwent elective surgery. The mean age was 66.3 years for the emergent and 57.11 for the elective group (p = 0.04178). The perinephric, visceral, subcutaneous fat, and V/S ratio for the emergent group were 1.71, 185.22, 338.22, and 0.56 and were 1.11, 127.18, 295.28, and 0.46 for the elective group. The difference between the V/S ratio for each group was significant (p = 0.0238). The emergent group had an average LOS of 16.11 days compared to 5.15 for the elective group (p = <0.00001). The complication rate was significantly higher (p = 0.024) in the emergent group (n = 12, 35.2 %) compared to the elective group (n = 4, 12.5 %). CONCLUSION: Our study demonstrates a clinically significant link between visceral fat and severity of presentation of diverticulitis. Patients with higher V/S fat ratios were more likely to require emergency surgery and have more complications and a longer LOS.
[Mh] Termos MeSH primário: Diverticulite/diagnóstico
Gordura Intra-Abdominal
Gravidade do Paciente
Gordura Subcutânea
[Mh] Termos MeSH secundário: Adulto
Idoso
Técnicas de Apoio para a Decisão
Diverticulite/cirurgia
Procedimentos Cirúrgicos Eletivos
Emergências
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1007/s00464-016-5290-2


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[PMID]:29391101
[Au] Autor:Siletz A; Grotts J; Lewis C; Tillou A; Cryer HM; Cheaito A
[Ad] Endereço:Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
[Ti] Título:Comparative Analysis of Laparoscopic and Open Approaches in Emergency Abdominal Surgery.
[So] Source:Am Surg;83(10):1089-1094, 2017 Oct 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The objective of this study was to evaluate usage and outcomes of emergency laparoscopic versus open surgery at a single tertiary academic center. Over a three-year period 165 patients were identified retrospectively using National Surgical Quality Improvement Program results. Appendectomies and cholecystectomies were excluded. Open and laparoscopic approaches were compared regarding preoperative and operative characteristics, the development of postoperative complications, 30-day mortality, and length of hospital stay. Indications for operation were similar between groups. Patients who underwent open surgery had more severe comorbidities and higher ASA class. Laparoscopy was associated with reduced complication rates, operative time, length of stay, and discharges to skilled nursing facilities on univariate analysis. In a multivariate model, surgical approach was not associated with the development of complications. Older age, dependent status, and dyspnea were predictors of conversion from attempted laparoscopic to open approaches.
[Mh] Termos MeSH primário: Abdome/cirurgia
Laparoscopia/utilização
Tempo de Internação/estatística & dados numéricos
Duração da Cirurgia
Complicações Pós-Operatórias/etiologia
Padrões de Prática Médica/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Bases de Dados Factuais
Emergências
Feminino
Seguimentos
Seres Humanos
Laparoscopia/estatística & dados numéricos
Modelos Logísticos
Masculino
Meia-Idade
Análise Multivariada
Avaliação de Resultados (Cuidados de Saúde)
Complicações Pós-Operatórias/epidemiologia
Estudos Retrospectivos
Fatores de Risco
Estados Unidos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


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[PMID]:29391097
[Au] Autor:Sujatha-Bhaskar S; Alizadeh RF; Koh C; Inaba C; Jafari MD; Carmichael JC; Stamos MJ; Pigazzi A
[Ad] Endereço:Department of Surgery, University of California, Irvine School of Medicine, Irvine, California, USA.
[Ti] Título:The Growing Utilization of Laparoscopy in Emergent Colonic Disease.
[So] Source:Am Surg;83(10):1068-1073, 2017 Oct 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Emergent colonic disease has traditionally been managed with open procedures. Evaluation of recent trends suggests a shift toward minimally invasive techniques in this disease setting. The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) targeted colectomy database from 2012 to 2014 was used to examine clinical data from patients who emergently underwent open colectomy (OC) and laparoscopic colectomy (LC). Multivariate regression was utilized to analyze preoperative characteristics and determine risk-adjusted outcomes with intent-to-treat and as-treated approach. Of 10,018 patients with emergent colonic operation, 90 per cent (9023) underwent OC whereas 10 per cent (995) underwent LC. Laparoscopic utilization increased annually, with LC composing 10.9 per cent of emergent colonic operations in 2014 compared with 9.3 per cent in 2012. Compared with LC, patients treated with OC had higher rates of overall morbidity (odds ratio 2.01, 95% confidence interval 1.74-2.34, P < 0.01) and 30-day mortality (odds ratio 1.79, 95% confidence interval 1.30-2.46, P < 0.01). Subset analysis of emergent patients without preoperative septic shock revealed consistent benefits with laparoscopy in overall morbidity, 30-day mortality, ileus, and surgical site infection. In select patients with hemodynamic stability, emergent LC appears to be a safe and beneficial operation. This study reflects the growing preference and utilization of minimally invasive techniques in emergent colonic operations.
[Mh] Termos MeSH primário: Colectomia/métodos
Doenças do Colo/cirurgia
Laparoscopia/utilização
Padrões de Prática Médica/tendências
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Colectomia/mortalidade
Doenças do Colo/mortalidade
Bases de Dados Factuais
Emergências
Feminino
Seres Humanos
Análise de Intenção de Tratamento
Laparoscopia/mortalidade
Laparoscopia/tendências
Masculino
Meia-Idade
Análise Multivariada
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/etiologia
Estudos Retrospectivos
Risco Ajustado
Resultado do Tratamento
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


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[PMID]:29424219
[Ti] Título:Creating new solutions to tackle old problems: the first ever evidence-based guidance on emergency risk communication policy and practice.
[Ti] Título:Créer de nouvelles solutions pour s'attaquer à des problèmes anciens: les toutes premières orientations fondées sur des données factuelles relatives à la politique et à la pratique en matière de communication sur les risques en situation d'urgence..
[So] Source:Wkly Epidemiol Rec;93(6):45-54, 2018 Feb 09.
[Is] ISSN:0049-8114
[Cp] País de publicação:Switzerland
[La] Idioma:eng; fre
[Mh] Termos MeSH primário: Defesa Civil/normas
Comunicação
Prática Clínica Baseada em Evidências
Guias como Assunto/normas
Saúde Pública
Risco
[Mh] Termos MeSH secundário: Fortalecimento Institucional/organização & administração
Fortalecimento Institucional/normas
Defesa Civil/métodos
Tomada de Decisões Gerenciais
Emergências
Seres Humanos
Organização Mundial da Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


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[PMID]:29350896
[Au] Autor:Milickovic M; Savic D; Stankovic N; Vukadin M; Bozic D
[Ti] Título:Transverse colon volvulus in neurologicaly imparied patient as an emergency surgical condition: A case report.
[So] Source:Vojnosanit Pregl;74(1):78-80, 2017 Jan.
[Is] ISSN:0042-8450
[Cp] País de publicação:Serbia
[La] Idioma:eng
[Ab] Resumo:Introduction: Transverse colon volvulus is an uncommon cause of bowel obstruction in general. Predisposing factors are mental retardation, dysmotility disorders, chronic constipation and congenital megacolon. Case report: We presented transverse colon volvulus in a 16-year-old boy with cerebral palsy. Chronic constipation in neurologicaly impaired patient was a risk factor predisposing to volvulus. The patient was admitted to the hospital with enormous abdominal distension and acute respiratory insufficiency. A boy was emergently taken to the operating room for exploratory laparotomy. During the surgery, a 360º clockwise volvulus of the transverse colon was found. After reduction of volvulus, an enormous transverse colon was resected and colostomy was formed. In the postoperative period, despite the good functioning of stoma and intraabdominal normotension, numerous and long lasting respiratory problems developed. The patient was discharged from our institution after 8 months. Conclusion: Though very rare in pediatric group, the possibility of a transverse colon volvulus must be considered in the differential diagnosis of acute large bowel obstruction.
[Mh] Termos MeSH primário: Paralisia Cerebral/complicações
Colectomia
Colo Transverso/cirurgia
Doenças do Colo/cirurgia
Colostomia
Volvo Intestinal/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Paralisia Cerebral/diagnóstico
Paralisia Cerebral/fisiopatologia
Colo Transverso/diagnóstico por imagem
Doenças do Colo/complicações
Doenças do Colo/diagnóstico por imagem
Emergências
Seres Humanos
Volvo Intestinal/complicações
Volvo Intestinal/diagnóstico por imagem
Tempo de Internação
Masculino
Complicações Pós-Operatórias/etiologia
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180120
[St] Status:MEDLINE
[do] DOI:10.2298/VSP150911015M


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[PMID]:29384923
[Au] Autor:Shi ZX; Yang J; Liang HW; Cai ZH; Bai B
[Ad] Endereço:Department of Interventional Radiology.
[Ti] Título:Emergency transcatheter arterial embolization for massive gastrointestinal arterial hemorrhage.
[So] Source:Medicine (Baltimore);96(52):e9437, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To evaluate the different arteriographic manifestations of acute arterial massive hemorrhage of the gastrointestinal (GI) tract and the efficacy of emergency transcatheter arterial embolization (ETAE).A total of 88 patients with acute massive GI bleeding who experienced failure of initial endoscopy and/or conservative treatment were referred to our interventional department for acute GI arteriography from January 2007 to June 2015. After locating the source of bleeding, appropriate embolic agents, such as spring coil, hydroxyl methyl acrylic acid gelatin microspheres, polyvinyl alcohol (PVA) particles, etc., were used to embolize the targeted vessels. The angiographic manifestations and the effects of embolization of acute arterial massive hemorrhage of the GI tract were retrospectively analyzed.Of the 88 patients, 54 were diagnosed with arterial hemorrhage of the upper GI tract and 34 with arterial hemorrhage of the lower GI tract. Eighty cases were associated with positive angiography, which showed the following: contrast extravasation (only); gastroduodenal artery stenosis; pseudoaneurysm (only); pseudoaneurysm rupture with contrast extravasation; pseudoaneurysms merged with intestinal artery stenosis; GI angiodysplasia; and tumor vascular bleeding. Eight cases were diagnosed with negative angiography. Seven-two patients underwent successful hemostasis, and a total of 81 arteries were embolized. The technical and clinical success rates (no rebleeding within 30 days) in performing transcatheter embolization on patients with active bleeding were 100% and 84.71%, respectively (72 of 85). Within 30 days, the postoperative rebleeding rate was 15.29% (13/85). Of these rebleeding cases, 2 patients were formerly treated with "blind embolization," 7 underwent interventional embolic retreatment, and 3 had surgical operations. All cases were followed-up for 1 month, and 3 patients died from multiple organ failure. No serious complications such as bowel ischemia necrosis were observed.ETAE is a safe, effective, and minimally invasive treatment; because of the diversified arteriographic manifestations of acute GI hemorrhage, the proper selection of embolic agents and the choice of reasonable embolization method are essential for successful hemostasis.
[Mh] Termos MeSH primário: Embolização Terapêutica
Procedimentos Endovasculares
Hemorragia Gastrointestinal/diagnóstico por imagem
Hemorragia Gastrointestinal/terapia
[Mh] Termos MeSH secundário: Doença Aguda
Adolescente
Adulto
Idoso
Angiografia
Emergências
Feminino
Hemorragia Gastrointestinal/etiologia
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009437


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[PMID]:28467578
[Au] Autor:Isil RG; Yazici P; Demir U; Kaya C; Bostanci Ö; Idiz UO; Isil CT; Demircioglu MK; Mihmanli M
[Ad] Endereço:Department of General Surgery, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul-Turkey. gurhanisil@hotmail.com.
[Ti] Título:Approach to inguinal hernia in high-risk geriatric patients: Should it be elective or emergent?
[So] Source:Ulus Travma Acil Cerrahi Derg;23(2):122-127, 2017 Mar.
[Is] ISSN:1306-696X
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Elderly patients are more prone to have inguinal hernia due to weakened abdominal musculature. However, surgical repair of inguinal hernia (SRIH) may not be performed or may be delayed due to greater risk in presence of comorbidities. Present study is investigation of outcome of elective and emergency SRIH in geriatric patients. METHODS: Records of total of 384 high-risk (American Society of Anesthesiology classification III-IV) patients aged >65 years who underwent SRIH between January 2010 and December 2014 were reviewed. Patients were divided into 2 groups according to procedure type: elective (Group EL) or emergency (Group EM). Demographic features and surgical and postoperative period data of 2 groups were recorded and compared. RESULTS: Demographic data were similar, but number of ASA IV patients was greater in Group EM. Frequency of intestinal resection was significantly greater in emergency surgery group (1% vs 21%; p<0.01). Length of hospital stay (1.3 days vs 7.9 days; p<0.01) and intensive care unit stay (0.17 days vs 4.04 days; p<0.01) were also greater in Group EM. Morbidity (1% vs 24%; p<0.01) and mortality (0.3% vs 11%; p<0.01) were also significantly higher in Group EM compared to elective SRIH group. CONCLUSION: Emergency inguinal hernia surgery is associated with significantly higher morbidity and mortality compared with elective SRIH in high-risk geriatric patients. Elective hernia repair in these patients should be considered to reduce risk of need for intestinal resection as well as length of hospital stay.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Eletivos
Hérnia Inguinal
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Procedimentos Cirúrgicos Eletivos/efeitos adversos
Procedimentos Cirúrgicos Eletivos/estatística & dados numéricos
Emergências/epidemiologia
Feminino
Hérnia Inguinal/epidemiologia
Hérnia Inguinal/cirurgia
Seres Humanos
Tempo de Internação/estatística & dados numéricos
Masculino
Complicações Pós-Operatórias/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/tjtes.2016.36932



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