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Mortality following emergency groin hernia surgery in Denmark
J Kjaergaard1, M Bay-Nielsen, H Kehlet
1Department of Surgical Gastroenterology 435, Hvidovre University Hospital, Kettegaard Allé 30, 2650 Hvidovre, Denmark. post.til.jesper@gmail.com
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|April 17, 2010
Summary
High mortality in emergency groin hernia repair in Denmark is linked to delayed diagnosis and treatment. Prompt examination and surgery for patients with acute abdominal symptoms are crucial for improving outcomes.
Area of Science:
- Surgical outcomes
- Public health
- Hernia repair outcomes
Background:
- Emergency groin hernia repair in Denmark has a higher mortality rate (7%) compared to similar countries.
- This study investigates the characteristics of deceased patients to identify potential improvements in care.
Purpose of the Study:
- To analyze the population that died following emergency herniotomy in Denmark.
- To identify factors contributing to the high mortality rate and suggest improvements in patient care.
Main Methods:
- Review of 156 patient records of individuals aged 18+ who died within 30 days of emergency hernia surgery (June 2003-June 2008).
- Data sourced from the Danish Hernia Database (DHDB) and Danish National Hospital Registry.
Main Results:
- Median patient age was 83 years, with 80% having co-morbidities.
- Over 60% experienced symptoms for >=48 hours before admission; 41% had delayed diagnosis.
- Only 23% had surgery within 8 hours; 35% were admitted to non-surgical wards. Laparotomy and bowel resections were common (53.1% and 49.2%).
Conclusions:
- Delays in admission, diagnosis, and surgical intervention are prevalent in emergency groin hernia cases in Denmark.
- Recommendations include examining all patients with acute abdominal symptoms for hernias and expediting surgical repair.
