The effect of tobacco use on outcomes of laparoscopic and open inguinal hernia repairs: a review of the NSQIP dataset

Landin, MacKenzie; Kubasiak, John; Schimpke, Scott; Poirier, Jennifer; Myers, Jonathan A.; Millikan, Keith W.; Luu, Minh B.

doi:10.1007/s00464-016-5055-y

Cited by 19 publications

(12 citation statements)

References 10 publications

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“…Third, we were unable to obtain information about smoking habits. Patients with a smoking habit undergoing PD are reportedly at greater risk of mortality [46, 47]. Thus, information about smoking is of great importance, especially regarding infection-related mortality.…”

Section: Discussionmentioning

confidence: 99%

Development of a risk prediction model for infection-related mortality in patients undergoing peritoneal dialysis

Tsujikawa¹,

Tanaka²,

Matsukuma³

et al. 2019

PLoS ONE

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BackgroundAssessment of infection-related mortality remains inadequate in patients undergoing peritoneal dialysis. This study was performed to develop a risk model for predicting the 2-year infection-related mortality risk in patients undergoing peritoneal dialysis.MethodsThe study cohort comprised 606 patients who started and continued peritoneal dialysis for 90 at least days and was drawn from the Fukuoka Peritoneal Dialysis Database Registry Study in Japan. The patients were registered from 1 January 2006 to 31 December 2016 and followed up until 31 December 2017. To generate a prediction rule, the score for each variable was weighted by the regression coefficients calculated using a Cox proportional hazard model adjusted by risk factors for infection-related mortality, including patient characteristics, comorbidities, and laboratory data.ResultsDuring the follow-up period (median, 2.2 years), 138 patients died; 58 of them of infectious disease. The final model for infection-related mortality comprises six factors: age, sex, serum albumin, serum creatinine, total cholesterol, and weekly renal Kt/V. The incidence of infection-related mortality increased linearly with increasing total risk score (P for trend <0.001). Furthermore, the prediction model showed adequate discrimination (c-statistic = 0.79 [0.72–0.86]) and calibration (Hosmer–Lemeshow test, P = 0.47).ConclusionIn this study, we developed a new model using clinical measures for predicting infection-related mortality in patients undergoing peritoneal dialysis.

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Section: Discussionmentioning

confidence: 99%

Development of a risk prediction model for infection-related mortality in patients undergoing peritoneal dialysis

Tsujikawa¹,

Tanaka²,

Matsukuma³

et al. 2019

PLoS ONE

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“…On multivariate analysis, return to the operating room was independently associated with class III surgical wounds, length of surgery, active tobacco use within 1 year of surgery, and regular steroid use within 30 days of the operation. Prolonged length of surgery aside, the three remaining variables are well known to compromise wound healing and potentially predispose patients to surgical site infections or pharyngocutaneous fistula requiring reoperation Any interventions to reduce steroid and tobacco use prior to the index procedure should be instated, with clear patient counseling and in concert, if necessary, with other medical specialists and ancillary caregivers. Our data suggest that more aggressive wound monitoring, in the form of inpatient clinical pathways and close medical and surgical follow‐up may be necessary in these high‐risk patients following discharge in an attempt to minimize the rate of reoperation…”

Section: Discussionmentioning

confidence: 99%

Predictors of length of stay, reoperation, and readmission following total laryngectomy

et al. 2016

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“…Overall, 39 reports were found to be relevant to the research question. Of these, 3 were randomized controlled trials [11], [12], [13], 5 were prospective studies [14], [15], [16], [17], [18], 4 were case reports [10], [19], [20], [21], 25 were retrospective (registry) studies [22], [23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], and 2 were meta-analyses [47], [48].…”

Section: Methodsmentioning

confidence: 99%

Risk factors for perioperative complications in inguinal hernia repair – a systematic review

Weyhe

Tabriz

Sahlmann

et al. 2017

Innovative Surgical Sciences

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Abstract:The current literature suggests that perioperative complications occur in 8%-10% of all inguinal hernia repairs. However, the clinical relevance of these complications is currently unknown. In our review, based on 571,445 hernia repairs reported in 39 publications, we identified the following potential risk factors: patient age, ASA score, diabetes, smoking, mode of admission (emergency vs. elective surgery), surgery in low resource settings, type of anesthesia, and (in men) bilateral and sliding hernias. The most commonly reported complications are bleeding (0.9%), wound infection (0.5%), and pulmonary and cardiovascular complications (0.2%). In 3.9% of the included publications, a reliable grading of the reported complications according to Clavien-Dindo classification was possible. Using this classification retrospectively, we could show that, in patients with complications, these are clinically relevant for about 22% of these patients (Clavien-Dindo grade ≥ IIIa). About 78% of all patients suffered from complications needing only minor (meaning mostly medical) intervention (Clavien-Dindo grade < III). Especially with regard to the low incidence of complications in inguinal hernia repair, future studies should use the Clavien-Dindo classification to achieve better comparability between studies, thus enabling better correlation with potential risk factors.

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The effect of tobacco use on outcomes of laparoscopic and open inguinal hernia repairs: a review of the NSQIP dataset

Abstract: Current smoking status is a modifiable risk of patients undergoing laparoscopic and open inguinal hernia repair. Failure to quit smoking prior to surgical repair is associated with complications like pneumonia and return to the operating room.

Cited by 19 publications

References 10 publications

Development of a risk prediction model for infection-related mortality in patients undergoing peritoneal dialysis

Development of a risk prediction model for infection-related mortality in patients undergoing peritoneal dialysis

Predictors of length of stay, reoperation, and readmission following total laryngectomy

Risk factors for perioperative complications in inguinal hernia repair – a systematic review

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