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Influence of age, comorbidity, type of operation and other variables on lethality and duration of post-operative hospital stay in patients with peptic ulcer

An analysis of 303 surgically treated patients

Einfluß von alter, komorbidität, art der operation und anderen variablen auf die letalität und die dauer des postoperativen krankenhausaufenthalts bei patienten mit peptischem ulkus. Eine analyse von 303 chirurgisch behandelten patienten

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Abstract

Three hundred and three consecutive patients operated on for peptic ulcer for the first time between 1 January 1984 and 31 December 1993 were evaluated in this retrospective study. Eleven variables (Period when operation took place, gender, smoking behaviour, history of former ulcers, ulcerogenic drug intake, ulcer location, epigastric pain, number of blood units substituted, patient's age, type of operation, comorbidity) were investigated regarding their influence on peri- and post-operative mortality and on the length of hospital stay after operation. We found that a high comorbidity score (>2) and the indication “emergency operation” (vs “elective operation”) had an adverse impact on survival. The importance of age was marginal. The duration of post-operative hospital stay in survivors was negatively influenced by age higher than 60 years, more than two red cell units substituted and a high comorbidity score according to Charlson.

Zusammenfassung

In dieser retrospektiven Studie wurden im Zeitraum zwischen dem 1.1.1984 und dem 31.12.1993 303 operativ behandelte Ulkuspatienten erfaßt. Elf potentielle Einfluβgröβen (Zeitraum der Operation, Geschlecht, Raucherverhalten, Ulkusanamnese, Einnahme ulzerogener Medikamente, Ulkuslokalisation, Magenschmerz, Anzahl der substituierten Blutkonserven, Alter der Patienten, Operationsindikation, Komorbidität) wurden hinsichtlich ihres Einflußes auf die peri- und postoperative Sterblichkeit sowie die Krankenhausverweildauer untersucht. Hohe Komorbidität (>2) und die Indikation “Notfalloperation” (gegen elektive Operation) zeigten einen negativen Einfluß hinsichtlich des Überlebens. Dem Alter kam nur eine geringe Bedeutung zu. Die postoperative Aufenthaltsdauer wurde hauptsächlich durch hohes Alter (>60 Jahre), eine hohe Anzahl (>2) substituierter Blutkonserven und einen hohen Komorbiditätsscore nach Charlson negativ beeinflußt.

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Authors and Affiliations

  1. Department of Clinical Documentation, University of Ulm, D-89070, Ulm

    J. Högel

  2. Surgical and Second Medical Clinic, Klinik am Eichert, D-73033, Göppingen

    R. J. Rieker, R. Eisele & E. Schmid

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  1. J. Högel
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  2. R. J. Rieker
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  3. R. Eisele
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  4. E. Schmid
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Additional information

Poster presentation, 4. Tagung Mitteldeutsche Gesellschaft für Gastroenterologie, Magdeburg 1995

The paper contains major parts of R. J. Ricker's thesis at the University of Ulm

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Högel, J., Rieker, R.J., Eisele, R. et al. Influence of age, comorbidity, type of operation and other variables on lethality and duration of post-operative hospital stay in patients with peptic ulcer. Langenbecks Arch Chiv 381, 201–206 (1996). https://doi.org/10.1007/BF00571685

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  • DOI: https://doi.org/10.1007/BF00571685

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