Deaths Following Cholecystectomy and Herniotomy: An Analysis of Nationwide German Hospital Discharge Data From 2009 to 2013

Deutsches Ärzteblatt International
Ulrike Nimptsch, Thomasy Mansk

Abstract

In 2010, 158 000 cholecystectomies and 207 000 herniotomies (without bowel surgery) were performed in Germany as inpatient procedures, generally on a routine, elective basis. Deaths following such operations are rare events. We studied the potential association of death after cholecystectomy or herniotomy with risk factors that could have been detected beforehand, and we examined the types of complications that were documented in these cases. Using nationwide hospital discharge data (DRG statistics) for the years 2009-2013, we analyzed the characteristics of patients who died in the hospital after undergoing a cholecystectomy for cholelithiasis or the repair of an inguinal, femoral, umbilical, or abdominal wall hernia. We compared these data with those of patients who survived and studied the impact of the coded comorbidities on the risk of death. In Germany, in the years 2009-2013, there were 2957 deaths after a total of 731 000 cholecystectomies (in-hospital mortality, 0.4%) and 1316 deaths after a total of 1 023 000 herniotomies without bowel surgery (0.13%). The patients who died were markedly older than those who did not, and they more commonly had comorbidities. Factors associated with a higher risk of death were age over...Continue Reading

References

Feb 7, 1998·Medical Care·A ElixhauserR M Coffey
Feb 13, 2003·American Journal of Epidemiology·James A HanleyJanet E Forrester
Sep 28, 2005·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·P J DevereauxGordon H Guyatt
May 7, 2008·Circulation·Michael P LaValley
Jan 16, 2009·The New England Journal of Medicine·Alex B HaynesUNKNOWN Safe Surgery Saves Lives Study Group
Oct 3, 2009·The New England Journal of Medicine·Amir A GhaferiJustin B Dimick
Jan 16, 2010·Deutsche medizinische Wochenschrift·P GastmeierC Geffers
Mar 17, 2010·Der Internist·M Reppel, J Weil
Jul 6, 2010·Current Opinion in Critical Care·Nicola BrienzaMassimo Marucci
Jul 9, 2010·Journal of the American College of Surgeons·Melissa M MurphyJennifer F Tseng
Mar 31, 2011·Langenbeck's Archives of Surgery·Marian GradeB Michael Ghadimi
Jul 6, 2011·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Kirstine M Harboe, Linda Bardram
Jul 16, 2011·Current Opinion in Clinical Nutrition and Metabolic Care·Ulf O Gustafsson, Olle Ljungqvist
Mar 1, 2012·The British Journal of Surgery·D KuppingerP Rittler
Mar 15, 2012·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A Richter
Dec 12, 2012·Journal of the American College of Surgeons·Frederik HelgstrandThue Bisgaard
Dec 25, 2012·Deutsches Ärzteblatt International·Axel FudickarBerthold Bein
Mar 28, 2013·Current Heart Failure Reports·Jenica Upshaw, Michael S Kiernan
May 16, 2013·Critical Care : the Official Journal of the Critical Care Forum·Nirav Shah, Mark Hamilton
Feb 19, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·K Khatib-ChahidiD Antolovic
Mar 8, 2014·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Uvo M HölscherPetra A Thürmann

❮ Previous
Next ❯

Citations

May 6, 2016·Deutsches Ärzteblatt International·Ernst Hanisch, Thomas Friedrich Weigel
May 6, 2016·Deutsches Ärzteblatt International·Kai Witzel, Ralph Lorenz
May 6, 2016·Deutsches Ärzteblatt International·Gernot von Hinüber
May 6, 2016·Deutsches Ärzteblatt International·René G Holzheimer
May 6, 2016·Deutsches Ärzteblatt International·Ulrike Nimptsch, Thomas Friedrich Mansky
Jun 12, 2021·Deutsches Ärzteblatt International·Christian StößUlrike Nimptsch

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
Paul D SteinMichel J Sabra
Hernia : the Journal of Hernias and Abdominal Wall Surgery
Alfredo M CarbonellEric J DeMaria
© 2021 Meta ULC. All rights reserved