Impact Of Comorbidities On Outcomes And Healthcare Costs Of Open Inguinal Hernia Repair In Patients With Diabetes Mellitus
Inguinal hernia management in patients with diabetes mellitus (DM) and comorbidities presents challenges due to potential impacts on wound healing and infection risk. This study evaluates the influence of additional comorbidities on outcomes following open inguinal hernia repair in DM patients. A re...
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| Veröffentlicht in: | Chirurgia (Bucharest, Romania : 1990) Romania : 1990), 2024-04, Vol.119 (2), p.227 |
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| creator | Racareanu, Marian Madalin Preda, Silviu Daniel Patrascu, Ștefan Turcu-Stiolica, Adina Ramboiu, Sandu Margaritescu, Dragoş Nicolae Cartu, Dan Radu, Petru Laskou, Styliani Sapalidis, Konstantinos Surlin, Valeriu |
| description | Inguinal hernia management in patients with diabetes mellitus (DM) and comorbidities presents challenges due to potential impacts on wound healing and infection risk. This study evaluates the influence of additional comorbidities on outcomes following open inguinal hernia repair in DM patients.
A retrospective cohort study was conducted at Craiova Emergency Clinical County Hospital from 2015 to 2020. Patients with documented DM undergoing hernia repair were categorized into two groups based on comorbidity status. Data on presentation mode, hernia type, comorbidities, hospitalization, operative details, postoperative outcomes, and costs were collected and analyzed statistically.
Among 38 DM patients undergoing hernia repair, 16 were in Group A (DM alone) and 22 in Group B (DM with comorbidities). Group B patients were older (p = 0.0002) and more likely to present emergently (OR: 13.81, p=0.0148) with incarcerated (OR: 22.733, p=0.0339) or strangulated hernias (OR: 9.4545, p=0.0390). Group B had longer hospitalizations (p=0.00132) and higher hospitalization costs (p = 0.00262).
DM patients with comorbidities are at higher risk for complex hernias and prolonged hospitalizations. Pulmonary fibrosis emerges as a significant comorbidity requiring specific perioperative strategies. Tailored preoperative assessments and care plans can optimize outcomes. |
| doi_str_mv | 10.21614/chirurgia.2024.v.119.i.2.p.227 |
| format | Article |
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A retrospective cohort study was conducted at Craiova Emergency Clinical County Hospital from 2015 to 2020. Patients with documented DM undergoing hernia repair were categorized into two groups based on comorbidity status. Data on presentation mode, hernia type, comorbidities, hospitalization, operative details, postoperative outcomes, and costs were collected and analyzed statistically.
Among 38 DM patients undergoing hernia repair, 16 were in Group A (DM alone) and 22 in Group B (DM with comorbidities). Group B patients were older (p = 0.0002) and more likely to present emergently (OR: 13.81, p=0.0148) with incarcerated (OR: 22.733, p=0.0339) or strangulated hernias (OR: 9.4545, p=0.0390). Group B had longer hospitalizations (p=0.00132) and higher hospitalization costs (p = 0.00262).
DM patients with comorbidities are at higher risk for complex hernias and prolonged hospitalizations. Pulmonary fibrosis emerges as a significant comorbidity requiring specific perioperative strategies. Tailored preoperative assessments and care plans can optimize outcomes.</description><identifier>ISSN: 1221-9118</identifier><identifier>DOI: 10.21614/chirurgia.2024.v.119.i.2.p.227</identifier><identifier>PMID: 38982889</identifier><language>eng</language><publisher>Romania</publisher><subject>Adult ; Aged ; Comorbidity ; Diabetes Mellitus - economics ; Diabetes Mellitus - epidemiology ; Female ; Health Care Costs - statistics & numerical data ; Hernia, Inguinal - economics ; Hernia, Inguinal - surgery ; Herniorrhaphy - economics ; Humans ; Length of Stay - economics ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors ; Romania - epidemiology ; Treatment Outcome</subject><ispartof>Chirurgia (Bucharest, Romania : 1990), 2024-04, Vol.119 (2), p.227</ispartof><rights>Celsius.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38982889$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Racareanu, Marian Madalin</creatorcontrib><creatorcontrib>Preda, Silviu Daniel</creatorcontrib><creatorcontrib>Patrascu, Ștefan</creatorcontrib><creatorcontrib>Turcu-Stiolica, Adina</creatorcontrib><creatorcontrib>Ramboiu, Sandu</creatorcontrib><creatorcontrib>Margaritescu, Dragoş Nicolae</creatorcontrib><creatorcontrib>Cartu, Dan</creatorcontrib><creatorcontrib>Radu, Petru</creatorcontrib><creatorcontrib>Laskou, Styliani</creatorcontrib><creatorcontrib>Sapalidis, Konstantinos</creatorcontrib><creatorcontrib>Surlin, Valeriu</creatorcontrib><title>Impact Of Comorbidities On Outcomes And Healthcare Costs Of Open Inguinal Hernia Repair In Patients With Diabetes Mellitus</title><title>Chirurgia (Bucharest, Romania : 1990)</title><addtitle>Chirurgia (Bucur)</addtitle><description>Inguinal hernia management in patients with diabetes mellitus (DM) and comorbidities presents challenges due to potential impacts on wound healing and infection risk. This study evaluates the influence of additional comorbidities on outcomes following open inguinal hernia repair in DM patients.
A retrospective cohort study was conducted at Craiova Emergency Clinical County Hospital from 2015 to 2020. Patients with documented DM undergoing hernia repair were categorized into two groups based on comorbidity status. Data on presentation mode, hernia type, comorbidities, hospitalization, operative details, postoperative outcomes, and costs were collected and analyzed statistically.
Among 38 DM patients undergoing hernia repair, 16 were in Group A (DM alone) and 22 in Group B (DM with comorbidities). Group B patients were older (p = 0.0002) and more likely to present emergently (OR: 13.81, p=0.0148) with incarcerated (OR: 22.733, p=0.0339) or strangulated hernias (OR: 9.4545, p=0.0390). Group B had longer hospitalizations (p=0.00132) and higher hospitalization costs (p = 0.00262).
DM patients with comorbidities are at higher risk for complex hernias and prolonged hospitalizations. Pulmonary fibrosis emerges as a significant comorbidity requiring specific perioperative strategies. Tailored preoperative assessments and care plans can optimize outcomes.</description><subject>Adult</subject><subject>Aged</subject><subject>Comorbidity</subject><subject>Diabetes Mellitus - economics</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Female</subject><subject>Health Care Costs - statistics & numerical data</subject><subject>Hernia, Inguinal - economics</subject><subject>Hernia, Inguinal - surgery</subject><subject>Herniorrhaphy - economics</subject><subject>Humans</subject><subject>Length of Stay - economics</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Romania - epidemiology</subject><subject>Treatment Outcome</subject><issn>1221-9118</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kFtLAzEQhfOg2FL7FyRv-tK4k-wleZR6aaGyIoqPSzbJtpG9mWQF_fVGrDMPcxi-OQwHoUtICIUc0mt1sG5yeysJTWhKPgmAIJZQMhJKixM0B0phJQD4DC29f09i5QlNEnaGZowLTjkXc_S97UapAi4bvB66wdVW22CNx2WPyymooYv6ptd4Y2QbDko6E0Ef_O9FOZoeb_v9ZHvZRsL1VuJnM0rr4ho_yejUR_TNhgO-tbI2Ibo9mra1YfLn6LSRrTfL41yg1_u7l_VmtSsftuub3WqkAGFVK54CbQAUcK2oMJoByxUTwKU2meApzYwsTF2Ihuk6F7GlTjOlaZMowdkCXf35jm74mIwPVWe9ik_I3gyTr1hSFELQLEazQBdHdKo7o6vR2U66r-o_L_YD_sRxTg</recordid><startdate>202404</startdate><enddate>202404</enddate><creator>Racareanu, Marian Madalin</creator><creator>Preda, Silviu Daniel</creator><creator>Patrascu, Ștefan</creator><creator>Turcu-Stiolica, Adina</creator><creator>Ramboiu, Sandu</creator><creator>Margaritescu, Dragoş Nicolae</creator><creator>Cartu, Dan</creator><creator>Radu, Petru</creator><creator>Laskou, Styliani</creator><creator>Sapalidis, Konstantinos</creator><creator>Surlin, Valeriu</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>202404</creationdate><title>Impact Of Comorbidities On Outcomes And Healthcare Costs Of Open Inguinal Hernia Repair In Patients With Diabetes Mellitus</title><author>Racareanu, Marian Madalin ; Preda, Silviu Daniel ; Patrascu, Ștefan ; Turcu-Stiolica, Adina ; Ramboiu, Sandu ; Margaritescu, Dragoş Nicolae ; Cartu, Dan ; Radu, Petru ; Laskou, Styliani ; Sapalidis, Konstantinos ; Surlin, Valeriu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-bc8412f11c18dc29ed3136c3918ade598425ea7eb79f3db69696ad45cd2f0c983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Comorbidity</topic><topic>Diabetes Mellitus - economics</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Female</topic><topic>Health Care Costs - statistics & numerical data</topic><topic>Hernia, Inguinal - economics</topic><topic>Hernia, Inguinal - surgery</topic><topic>Herniorrhaphy - economics</topic><topic>Humans</topic><topic>Length of Stay - economics</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Romania - epidemiology</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Racareanu, Marian Madalin</creatorcontrib><creatorcontrib>Preda, Silviu Daniel</creatorcontrib><creatorcontrib>Patrascu, Ștefan</creatorcontrib><creatorcontrib>Turcu-Stiolica, Adina</creatorcontrib><creatorcontrib>Ramboiu, Sandu</creatorcontrib><creatorcontrib>Margaritescu, Dragoş Nicolae</creatorcontrib><creatorcontrib>Cartu, Dan</creatorcontrib><creatorcontrib>Radu, Petru</creatorcontrib><creatorcontrib>Laskou, Styliani</creatorcontrib><creatorcontrib>Sapalidis, Konstantinos</creatorcontrib><creatorcontrib>Surlin, Valeriu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Chirurgia (Bucharest, Romania : 1990)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Racareanu, Marian Madalin</au><au>Preda, Silviu Daniel</au><au>Patrascu, Ștefan</au><au>Turcu-Stiolica, Adina</au><au>Ramboiu, Sandu</au><au>Margaritescu, Dragoş Nicolae</au><au>Cartu, Dan</au><au>Radu, Petru</au><au>Laskou, Styliani</au><au>Sapalidis, Konstantinos</au><au>Surlin, Valeriu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact Of Comorbidities On Outcomes And Healthcare Costs Of Open Inguinal Hernia Repair In Patients With Diabetes Mellitus</atitle><jtitle>Chirurgia (Bucharest, Romania : 1990)</jtitle><addtitle>Chirurgia (Bucur)</addtitle><date>2024-04</date><risdate>2024</risdate><volume>119</volume><issue>2</issue><spage>227</spage><pages>227-</pages><issn>1221-9118</issn><abstract>Inguinal hernia management in patients with diabetes mellitus (DM) and comorbidities presents challenges due to potential impacts on wound healing and infection risk. This study evaluates the influence of additional comorbidities on outcomes following open inguinal hernia repair in DM patients.
A retrospective cohort study was conducted at Craiova Emergency Clinical County Hospital from 2015 to 2020. Patients with documented DM undergoing hernia repair were categorized into two groups based on comorbidity status. Data on presentation mode, hernia type, comorbidities, hospitalization, operative details, postoperative outcomes, and costs were collected and analyzed statistically.
Among 38 DM patients undergoing hernia repair, 16 were in Group A (DM alone) and 22 in Group B (DM with comorbidities). Group B patients were older (p = 0.0002) and more likely to present emergently (OR: 13.81, p=0.0148) with incarcerated (OR: 22.733, p=0.0339) or strangulated hernias (OR: 9.4545, p=0.0390). Group B had longer hospitalizations (p=0.00132) and higher hospitalization costs (p = 0.00262).
DM patients with comorbidities are at higher risk for complex hernias and prolonged hospitalizations. Pulmonary fibrosis emerges as a significant comorbidity requiring specific perioperative strategies. Tailored preoperative assessments and care plans can optimize outcomes.</abstract><cop>Romania</cop><pmid>38982889</pmid><doi>10.21614/chirurgia.2024.v.119.i.2.p.227</doi></addata></record> |
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| subjects | Adult Aged Comorbidity Diabetes Mellitus - economics Diabetes Mellitus - epidemiology Female Health Care Costs - statistics & numerical data Hernia, Inguinal - economics Hernia, Inguinal - surgery Herniorrhaphy - economics Humans Length of Stay - economics Male Middle Aged Retrospective Studies Risk Factors Romania - epidemiology Treatment Outcome |
| title | Impact Of Comorbidities On Outcomes And Healthcare Costs Of Open Inguinal Hernia Repair In Patients With Diabetes Mellitus |
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