BACKGROUND: @entity4036 are common surgical procedures. Several recent reports have studied the outcomes of elderly @entity1 undergoing @entity169 repair and documented a morbidity rate ranging from 5-57% and a mortality rate ranging from 1.6-14%. However, there has been limited data documenting the risk factors associated with postoperative morbidity and mortality from @entity4036 in general. Therefore, we sought to investigate the incidence of complications in @entity1 undergoing @entity4036 and to evaluate the risk factors for @entity281 and resource utilization in these @entity1 . METHODS: Prospective data (NSQIP) were collected on 6301 noncardiac surgical @entity1 at the VA Maryland Healthcare System from 1995 to 2000. From this data set, 487 (7.7%) @entity1 underwent @entity4036 and comprised the study cohort. Logistic and linear regression analyses were performed to identify risk factors for @entity281 and hospital length of stay. RESULTS: The mean age of the study cohort was 60 +/- 14 and the mean ASA class was 2.4 +/- 0.7. Descriptive data revealed 99% were male, 43% used @entity286 , 8.4% were @entity6 , 7.4% used @entity167 , 6.3% had @entity1030 ( @entity1030 ), 2.1% were malnourished (defined as >/= 10% @entity353 over prior 6 months), 1.6% used @entity230 , 1.2% had ascites, and 0.2% had @entity453 ( @entity453 ). The mortality rate was low at 1% but the morbidity rate was higher with a 4.3% incidence of @entity2737 and a 15.1% incidence of recurrent @entity547 . The mean preoperative serum albumin level was 4.1 +/- 0.6 g/dL, and the mean hospital length of stay was 1.4 +/- 4.8 days. Multiple logistic and linear regression analyses documented that @entity453 , @entity1030 , low preoperative serum albumin, and @entity134 use were independent risk factors for @entity6081 (P < 0.05) and increased hospital length of stay (P < 0.05). CONCLUSIONS: @entity4036 repair is associated with significant morbidity in this predominantly elderly cohort but mortality rates were low. @entity1030 and low preoperative serum albumin were independent predictors of @entity2737 and @entity453 , @entity1030 , low preoperative serum albumin, and @entity134 use were independent predictors of increased hospital length of stay. Therefore, consideration should be given to optimizing @entity1 's cardiopulmonary and nutritional status before @entity4036 .

Abdominal wall @entity547 : risk factors for XXXX and resource utilization.

@entity1 :: ('9606', 'Species') :: ['patient', 'patients'] @entity286 :: ('4097', 'Species') :: ['tobacco'] @entity6081 :: ('MESH:D013530', 'Disease') :: ['increased postoperative wound infections'] @entity353 :: ('MESH:D015431', 'Disease') :: ['weight loss'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetic'] @entity167 :: ('CHEBI:16236', 'Chemical') :: ['alcohol'] @entity4036 :: ('MESH:D046449', 'Disease') :: ['abdominal wall hernia repair', 'abdominal wall hernia repairs', 'Abdominal wall hernia', 'Abdominal wall hernia repairs'] @entity2737 :: ('MESH:D014946', 'Disease') :: ['wound infections'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity134 :: ('CHEBI:35341', 'Chemical') :: ['steroid'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernias'] @entity1030 :: ('MESH:D029424', 'Disease') :: ['chronic obstructive pulmonary disease', 'COPD'] @entity230 :: ('MESH:D013256', 'Chemical') :: ['steroids'] @entity453 :: ('MESH:D003324', 'Disease') :: ['CAD', 'coronary artery disease'] @entity169 :: ('MESH:D006552', 'Disease') :: ['inguinal hernia']
@entity281 :: (MESH:D007239,Disease) :: ['infection']
