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Erschienen in: Hernia 5/2018

28.03.2018 | Original Article

Associations between anxiolytic medications and ventral hernia repair

verfasst von: C. Neff, C. Totten, M. Plymale, D. R. Oyler, D. Davenport, J. S. Roth

Erschienen in: Hernia | Ausgabe 5/2018

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Abstract

Purpose

This study examines the relationship between anxiolytic medications (AXM) on outcomes following ventral hernia repair.

Methods

A single-center review of prospectively obtained perioperative and 30-day outcome data, including AXM use at admission, as part of the National Surgery Quality Improvement Program.

Results

Sixty-three of the 393 patients who presented for ventral hernia repair were taking an AXM (15.6%). AXM users were more likely to have a higher ASA class, dyspnea, and treated hypertension (p < 0.05). AXM use was associated with increased operative duration, hernia size, increased estimated blood loss, and need for component separation. After adjusting for medical comorbidities, AXM users were not found to have greater 30-day morbidity or mortality. Patients taking AXM were found to have greater length of stay and increased hospital readmissions.

Conclusions

Patients taking anxiolytic medications undergoing ventral hernia repairs have higher ASA scores, more complex hernia characteristics, and require more concurrent procedures. They were found to have longer operative times, increased blood loss, greater duration of hospital stay, and increased readmissions that were associated with the increased perioperative risk factors. Further studies are required to determine causal links.
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Metadaten
Titel
Associations between anxiolytic medications and ventral hernia repair
verfasst von
C. Neff
C. Totten
M. Plymale
D. R. Oyler
D. Davenport
J. S. Roth
Publikationsdatum
28.03.2018
Verlag
Springer Paris
Erschienen in
Hernia / Ausgabe 5/2018
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-018-1766-4

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