BACKGROUND: 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. @entity204 following such operations are rare events. We studied the potential association of @entity204 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. METHODS: Using nationwide hospital discharge data (DRG statistics) for the years 2009-2013, we analyzed the characteristics of @entity1 who died in the hospital after undergoing a cholecystectomy for @entity2963 or the repair of an inguinal, femoral, umbilical, or @entity4036 . We compared these data with those of @entity1 who survived and studied the impact of the coded comorbidities on the risk of @entity204 . RESULTS: 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 @entity1 who died were markedly older than those who did not, and they more commonly had comorbidities. Factors associated with a higher risk of @entity204 were age over 65 years, and comorbidities such as @entity712 , @entity3619 , or poor nutritional status. Complications were coded much more often for the @entity1 who died than for those who did not. CONCLUSION: These findings suggest that there is potential for improvement in preoperative risk identification, complication avoidance, and the early recognition and treatment of complications, as well as in safe surgical technique. Measures to lower the mortality associated with herniotomy and cholecystectomy would lessen @entity1 ' individual risk and thereby improve @entity1 safety.

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

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity712 :: ('MESH:D006333', 'Disease') :: ['congestive heart failure'] @entity4036 :: ('MESH:D046449', 'Disease') :: ['abdominal wall hernia'] @entity2963 :: ('MESH:D002769', 'Disease') :: ['cholelithiasis'] @entity3619 :: ('MESH:D006521', 'Disease') :: ['chronic pulmonary or hepatic disease'] @entity204 :: ('MESH:D003643', 'Disease') :: ['Deaths', 'death']
@entity204 :: (MESH:D003643,Disease) :: ['Deaths']
