Femoral herniorafi sonrası klinik yatış sürecini etkileyen komplikasyon, morbidite ve mortalite faktörlerinin araştırılması

Year 2020, , 61 - 65, 21.03.2020

Dilek Dülger , Feray Aydın , Özgür Albuz

https://doi.org/10.18663/tjcl.672798

Abstract

Amaç:Femoral
herni operasyonu geçiren olguların, bu fıtık türündeki risk faktörlerini
irdeleyerek hastane yatış sürecini, morbidite ve varsa mortaliteyi etkilen
faktörlerin özellikle cinsiyet bakımından araştırılması amaçlanmıştır.

 

Gereç ve Yöntemler: 1 Ocak 2015–30 Haziran 2019 tarihleri arasında 29 Mayıs Devlet
Hastanesinde 65 femoral herni
operasyonu uygulanan hasta tespit edildi. Eksik ya da verileri net olmayan 6
hasta çalışmaya dahil edilmeyerek toplamda 59 hasta verileri analiz edildi.
Kesikli değerler için yüzde ve frekans, sürekli değişkenler için ortalama ve
standart sapma kullanılmıştır. Dağılım durumuna göre bağımsız değişkenler için
student t test kullanılılırken kesikli değişkenlerde ki kare testi kullanılmış
ve final istatistikler binary lojistik regresyon elde edilmiştir.

 

Bulgular: Erkek cinsiyet belirgin
derecede daha ileri yaşta femoral herni riski taşırken bayanların daha genç yaşta femoral herni riskine sahip olduğu
görüldü [66.11 yaş vs 52.68 yaş ( p=0.004),AOR:0.87(0,784-0,969)(p=0,011)].
Student t testinde diğer erkekler daha kısa hastane yatış süresi(LOS) ‘ ne
sahip olmakla beraber p değeri 0.79 olarak bulundu. LOS değeri için ikili çoklu
lojistik regresyonda; Cinsiyet, vücut kitle indeksi (BKİ, kg / m2), yaş ve
komplikasyonlar açısından; P değeri 0,07 olarak bulundu ve; AOR, 2.2 bulundu.
Bu sonuçla; Kadınlar, p=0.1 değeri için istatistiksel olarak erkeklerden
daha fazla LOS değerine sahipti. Her iki cinsiyet arasında vücut kitle
indeksinin hem univariate (tek değişkenli) analizlerde hem de ikili regresyon
sonucunda cinsiyete göre femoral herni açısından bir farkı olmadığını saptadık.

 

Sonuç: Femur
fıtığı sıklıkla kadınlarda görülür; Bununla birlikte, yüksek insidansının,
yaşlılık döneminde erkeklerde de
görülebileceğini bulduk ve ameliyat sonrası erkekler genellikle kadınlardan
daha erken taburcu edildi.

Keywords

Femoral herni, cinsiyet, morbidite, mortalite, klinik yatış süreci, komplikasyon

Investigation of the complication, morbidity and mortality factors affecting the clinical hospitalization process after femoral hernioraphy

Abstract

Aim: The
study aims to investigate the risk factors of patients with femoral hernia as
well as factors that affect the
hospitalisation process, morbidity and mortality, particularly in terms of
gender.

 

Material
and Methods: A
total of 65 femoral hernia surgeries were performed in 29 Mayıs Public Hospitals between January 1, 2015 and June 30,
2019. Six patients with incomplete or unclear data were excluded, and the data
of 59 patients were analysed. Percentage and frequency were used for discrete
variables, whereas mean and standard deviation for continuous variables.
Student’s t-test was used for independent variables according to the
distribution status, whereas chi-square test was used for dichotomous
variables, and the results for binary logistic regression were obtained.

 

Results:
Males were significantly more likely to have femoral hernia risk during old age
[66.11years vs. 52.68 years (p=0.004), adjusted odds ratio (AOR): [0.87 (0.784,
0.969)(p= 0.011)]. In student’s t-test, male patients had shorter length of
hospital stay (LOS). Hovewer the p value was found 0.79. In the binary multiple
logistic regression for LOS value; In terms of gender, body mass index (BMI,
kg/m2), age and complications; P value was found as 0.07 and ; AOR was found
2.2. With this result; The females have got the more LOS value than men as
statistichally, for p=0.1 value.

Conclusion:
Femoral hernia frequently occurs in women; however,
we found that its higher incidence
is also can be found in men during old age, and after surgery, men are
generally discharged earlier than women.

Keywords

femoral hernia, sex, morbidity, motality, length of clinical hospitisation stay, complication

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