scholarly journals Factors Affecting Morbidity and Mortality in Patients Who Underwent Emergency Operation for Incarcerated Abdominal Wall Hernia

2013 ◽  
Vol 97 (4) ◽  
pp. 305-309 ◽  
Author(s):  
Mesut Gul ◽  
Ibrahim Aliosmanoglu ◽  
Murat Kapan ◽  
Akin Onder ◽  
Fatih Taskesen ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Abdominal Wall ◽  
Intestinal Resection ◽  
Abdominal Wall Hernia ◽  
Emergency Operation ◽  
Mortality Rates ◽  
Morbidity And Mortality ◽  
Concomitant Disease ◽  
Factors Affecting ◽  
Emergency Care Units

Abstract Patients with incarcerated abdominal wall hernias (AWHs) are often encountered in emergency care units. Despite advances in anesthesia, antisepsis, antibiotic therapy, and fluid therapy, the morbidity and mortality rates for these patients remain high. Between 2006 and 2011, we retrospectively analyzed the cases of 131 patients who underwent emergency surgery for incarcerated abdominal wall hernias. Of these, there were 70 women (53.4%) and 61 men (46.6%) with an average age of 63.3 ± 17.4 years (range, 17–91 years). Morbidity was observed in 28 patients (21.4%), and the mortality rate was 2.3%. Intestinal resection, presence of concomitant disease, and general anesthesia were the independent variants that affected morbidity of patients with incarcerated abdominal wall hernias.

scholarly journals Is the Incidence of Gastroschisis Increasing Recently?

2018 ◽  
Vol 7 (2) ◽  
pp. 18
Author(s):  
Aditya Pratap Singh ◽  
Arun Kumar Gupta ◽  
Ramesh Tanger ◽  
Vinay Mathur ◽  
Dileep Garg
Keyword(s):  
Mortality Rate ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Incidence Rates ◽  
Middle Income ◽  
Wall Defect ◽  
Birth Prevalence ◽  
Factors Affecting ◽  
High Incidence ◽  
Very High

Aims and Objectives: Gastroschisis is a predominantly full thickness right-sided periumbilical abdominal wall defect. We have observed that the GS birth prevalence has more than doubled over the past few decades. The aim of our study is to point out the increasing incidence of the GS.Materials and Methods: We conducted a retrospective study to collect data of the GS, admitted in our institute during the period of 2 years from January 2015 to December 2016. The very high incidence of this congenital anomalies together with the fact that GS is the most common abdominal wall defect requiring neonatal operative intervention and its mortality rate is still very high that prompted us to study its demography, descriptive epidemiology, and quantifying mortality rate and try to analyze factors affecting outcome and cause that might explain this epidemiological pattern. Low- and middle-income countries are often reported to have a higher mortality when compared to patients born in the developed countries.Results: A total of 98 patients of the GS were admitted during the period of 2 years. The mortality and survival rate were 26.5% (26) and mortality 73.4% (72) respectively.Conclusion: Our data demonstrate that in our institution too, recent trends of increasing prevalence of GS are real. Still, we had a high mortality rate. This study highlights the need for further research to find out the causes of such high incidence rates and to improve our outcomes.

Factors affecting morbidity and mortality in incarcerated abdominal wall hernias

Hernia ◽  
2007 ◽  
Vol 11 (4) ◽  
pp. 341-346 ◽  
Author(s):  
H. Derici ◽  
H. R. Unalp ◽  
A. D. Bozdag ◽  
O. Nazli ◽  
T. Tansug ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Morbidity And Mortality ◽  
Factors Affecting

scholarly journals Healthcare Information Systems to Assess Influenza Outbreaks

2011 ◽  
Vol 02 (01) ◽  
pp. 75-85 ◽  
Author(s):  
V. Aliperti ◽  
E. Salazar ◽  
C. Otero ◽  
M. Schpilberg ◽  
V. Taliercio ◽  
...  
Keyword(s):  
Information System ◽  
Mortality Rate ◽  
Care Center ◽  
Case Fatality ◽  
Mortality Rates ◽  
Morbidity And Mortality ◽  
Influenza Epidemic ◽  
Health Maintenance ◽  
Health Care Center ◽  
Severe Acute Respiratory Infection

Summary Objective: To determine whether a private HIS could have detected the influenza epidemic outbreaks earlier through changes in morbidity and mortality patterns. Methods: Data Source included a health information system (HIS) from an academic tertiary health care center integrating administrative and clinical applications. It used a local interface terminology server which provides support through data autocoding of clinical documentation. Specific data subsets were created to compare the burden of influenza during the epidemiological week (EW) 21 to 26 for years 2007 to 2009 among 150,000 Health Maintenance Organization members in Argentina. The threshold for identifying an epidemic was considered met when the weekly influenza-like illness (ILI) rate exceeded 200 per 100,000 visits. Case fatality rates and mortality rates of severe acute respiratory infection (SARI) from 2007 to 2009 were retrospectively compared. Case fatality rates and mortality rates for A/H1N1 influenza 2009 also were estimated. Results: The HIS detected the outbreak in EW 23 while the government Ministry of Health (MoH) gave a national epidemic alert during EW 25. The number of visits for ILI increased more than fourfold when comparing 2009 to the period 2007-2008. The SARI mortality rate in 2009 was higher than in 2008 (RR 2.8; 95%CI 1.18-6.63) and similar to that of 2007 (RR 1.05; 95%CI 0.56-1.49). 2009 was the first year with mortalities younger than 65 years attributable to SARI. The estimated A/H1N1 case fatality rate for SARI was 6.2% (95%CI 2.5 to 15.5) and A/H1N1 mortality rate was 6 per 100,000 (95%CI 0 to 11.6). Conclusion: Our HIS detected the outbreak two weeks before than the MoH gave a national alert. The information system was useful in assessing morbidity and mortality during the 2009 influenza epidemic H1N1 outbreak suggesting that with a private-public integration a more real-time outbreak and disease surveillance system could be implemented.

Statement on Infant Mortality

PEDIATRICS ◽  
1986 ◽  
Vol 78 (6) ◽  
pp. 1155-1160
Author(s):  
Keyword(s):  
Mortality Rate ◽  
Child Health ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Mortality Rates ◽  
First Year ◽  
Postneonatal Mortality ◽  
Factors Affecting ◽  
Live Births ◽  
First Year Of Life

Why Is Infant Mortality Important? Rates of infant mortality are sensitive indicators of a broad range of factors affecting children's health. As such, infant mortality is the "tip of the iceberg" of child health problems, and changes in infant mortality are a signal of factors affecting child health more broadly. In addition to its role as a general gauge of child health, infant mortality itself represents an important health problem. It is well to remember that infant death rates are the highest of any age group less than 65 years. The message conveyed by infant mortality rates if better understood in terms of the causes of mortality at different times during the first year of life. Neonatal Mortality Neonatal mortality rate is defined as the number of infants dying between 0 and 27 days of life per 1,000 live births. These deaths in the first month of life reflect primarily factors associated with health of the mother before and during pregnancy and the special problems of the newborn. Deaths in this age range result chiefly from inadequate intruterine growth (prematurity, intrauterine growth retardation) and congenital anomalies. As a result, neonatal mortality rates provide an indicator of the factors affecting pregnancy, delivery, and the neonate and the adequacy of services in the prenatal, intrapartum, and neonatal periods. Postneonatal Mortality Postneonatal mortality rate is defined as the number of infants dying between 28 days and 11 months of life per 1,000 live births, ie, deaths occurring during the remainder of the first year of life.

Complex Abdominal Wall Hernia Repair in Contaminated Surgical Fields: Factors Affecting the Choice of Prosthesis

2017 ◽  
Vol 83 (6) ◽  
pp. 583-590 ◽  
Author(s):  
Manuel LÓPez-Cano ◽  
MarÍA Teresa Quiles ◽  
José Antonio Pereira ◽  
Manuel Armengol-Carrasco ◽  
MarÍA Antonia ArbÓ S VÍA
Keyword(s):  
Abdominal Wall ◽  
Surgical Repair ◽  
Enterocutaneous Fistula ◽  
Abdominal Wall Hernia ◽  
Surgical Site Infections ◽  
Recurrent Hernia ◽  
Factors Affecting ◽  
Elective Repair ◽  
Infected Mesh ◽  
Clean Contaminated

To compare patients with complex abdominal wall hernias undergoing surgical repair using synthetic nonabsorbable or biologic meshes in contaminated fields. Retrospective review of 62 patients with complex abdominal wall hernia with surgical repair in an elective setting and in the context of a clean-contaminated or contaminated fields (January 2009–April 2015). Two groups according to the prosthesis (synthetic nonabsorbable, n = 48 or biologic, n = 14). Mean follow-up was 24.6 (15.8) months. Clean-contaminated wounds were significantly more frequent in the synthetic group. Contaminated wounds were significantly more frequent in the biologic group. Enterocutaneous fistula, recurrent hernia, and removal of chronic infected mesh were significantly more frequently in the biologic group. Differences in postoperative complications and surgical site infections were not found. Recurrence was higher in the biologic group (35.7% vs 8.3%, P = 0.03). In the elective repair of complex hernia, the level of contamination, a recurrent hernia, an enterocutaneous fistula or removal of chronic infected mesh were the factors affecting the choice of prosthesis. In the clean-contaminated setting, the use of a synthetic nonabsorbable mesh versus a biologic mesh did not increase the rate of postoperative infections. Recurrences are significantly higher with biologic meshes.

scholarly journals Study on factors affecting mortality in nonagenarian patients in orthopaedic surgery

2019 ◽  
Vol 7 (3) ◽  
pp. 899
Author(s):  
Ipek Saadet Edipoglu ◽  
Chasan Memet Chousein ◽  
Halil Ibrahim Balci ◽  
Mehmet Ilke Buget
Keyword(s):  
Mortality Rate ◽  
Hospital Mortality ◽  
Mortality Rates ◽  
Operating Rooms ◽  
Mortality And Morbidity ◽  
Factors Affecting ◽  
Vulnerable Patients ◽  
Post Operation ◽  
Significant Life ◽  
The Mean

Background: With medicine advancing, population is aging in the world. We encounter elderly patients in operating rooms more often. In this study, the aim was to investigate mortality and morbidity rates of patients 90 years of age or older within 1 year from the date of operation due to fractures.Methods: The study was performed retrospectively in the 3rd stage health institution. All patients that had fracture operation in the operating rooms of the orthopaedics department between 2011 and 2017 and that were 90 years or older on the day of operation were included in the study. Patients who were operated twice were excluded from the study.Results: Around 83 patients of which were included in the study. The mean age of the patients was 92.89±2.84. In-hospital mortality rate was 8.4%. The mortality rate within 3 months from the operation was 18.1%, 25.3% within 1 year, and 61.4% within 5 years or above. Author found that the mean survival period for the total of the surviving patients was 23.87±18.96 months. Author found that there was a meaningful causation between morbidity developing post-operation and in-hospital mortality, 3-month mortality, and 1-year mortality (p<0.05).Conclusions: Author think that it was important to recognize the fact that despite being more vulnerable, patients 90 years of age or older have a significant life expectancy post-hospital discharge. Author think that post-operation acute morbidity affects mortality rates and it was important to avoid factors that may cause acute morbidity in patients 90 years of age and older.

scholarly journals Morbidity and Mortality of Traumatic Brain Injury in Hospitalized Patients in Brazil Between 2010 and 2020: An Ecological Study

2021 ◽  
Author(s):  
Vitória Bittencourt de Carvalho ◽  
Kauan Alves Sousa Madruga
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mortality Rate ◽  
Ecological Study ◽  
Traumatic Injury ◽  
Mortality Rates ◽  
Hospitalization Rate ◽  
Morbidity And Mortality ◽  
Age Group ◽  
Unified Health System

Background: Traumatic Brain Injury (TBI) is defined as any traumatic injury causing an anatomical lesion or functional impairment of the scalp, skull, meninges, brain or its vessels. Hospitalization of this patient, depending on the severity, can result in irreversible sequelae or death. Objective: To report the morbidity and mortality rates of patients suffering from TBI hospitalized in Brazilian hospitals between 2010 and 2020. Methods: Descriptive ecological study of the data collected at the Informatics Department of the Unified Health System (DATASUS). Results: There were 1,143,187 admissions due to TBI. There was a predominance of males with 871,999 (76.28%) cases and the age group between 20 and 29 years old 199,857 (17.48%). Brown patients were the ones with the highest hospitalization rate: 370,639 (32.42%). The mortality rate in the period was 9.52/100 hospitalizations, with the Southeast region occupying the first place (10.44 per 100 hospitalizations). In total, 108,853 deaths were recorded, of which 50,013 occurred in the Southeast, the region with the highest rate. Although the number of deaths was higher in people between 20 and 29 years old (16,687), the age group with the highest mortality rate was over 80 years old (19.84 per 100 hospitalizations). Conclusion: In the last 10 years, TBI has caused 1,143,187 hospitalizations in Brazil, with a predominance of males and the age group between 20 and 29 years. Brown patients had the highest rate of hospitalization. The region with the highest mortality was the Southeast and the smallest was the South.

Relative influence of environmental factors and processing techniques on Panulirus cygnus morbidity and mortality during simulated live shipments

1997 ◽  
Vol 48 (8) ◽  
pp. 839 ◽  
Author(s):  
Patrick T. Spanoghe ◽  
P. K. Bourne
Keyword(s):  
Mortality Rate ◽  
Mortality Rates ◽  
Morbidity And Mortality ◽  
Rock Lobster ◽  
Significant Difference ◽  
Panulirus Cygnus ◽  
Chilling Period ◽  
Processing Techniques ◽  
Western Australian ◽  
Positive Significant Correlation

In this study, conducted in collaboration with the Western Australian rock lobster industry during the 1992–93 fishing season, daily records were made on morbidity and mortality of western rock lobsters, Panulirus cygnus, held in commercial shipping (export) cartons. The aims were to measure the rates of morbidity + mortality and to identify patterns of correlation of morbidity + mortality rates for a range of environmental variables recorded by the processors. In three processing units, the rate of morbidity + mortality in simulated live shipments averaged 5á2% (±0·6), with a highly significant difference (P<0·001) between processing units. Three factors, holding time in export cartons, ambient temperature within the export cartons and chilling period before packing lobsters, had the greatest influence on the rate of morbidity + mortality. Morbidity + mortality rate of animals held for 30–36 h (10·4 ± 2·3%) was twice that of animals held for 20–24 h (5·2 ± 0·6%). A positive significant correlation (r = 0·25, P = 0·001) was identified between morbidity + mortality rate and the internal carton temperature. Aprolongation of the chilling period was reflected by improved survival, possibly resulting from an anaesthesic effect of the chilling treatment.

scholarly journals Abdominal wall hernia in cirrhotic patients: emergency surgery results in higher morbidity and mortality

BMC Surgery ◽  
2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Wellington Andraus ◽  
Rafael Soares Pinheiro ◽  
Quirino Lai ◽  
Luciana B.P Haddad ◽  
Lucas S Nacif ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Emergency Surgery ◽  
Abdominal Wall Hernia ◽  
Morbidity And Mortality ◽  
Cirrhotic Patients
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