| Secular trends in small-bowel obstruction and adhesiolysis in the United States: 1988-2007. | |
| | |
MedLine Citation:
|
PMID: 22575399 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Postoperative adhesions are common after surgery and can cause small-bowel obstruction (SBO) and require adhesiolysis. The impact that laparoscopy and other surgical advances have had on rates of SBO and adhesiolysis remains controversial. This study examines trends in discharges from US hospitals for SBO and adhesiolysis from 1988 to 2007. METHODS: We performed an analysis of secular trends for SBO and adhesiolysis, using the National Hospital Discharge Survey. Spearman correlation coefficients were calculated to assess trends over time. RESULTS: Rates of SBO were stable over time (ρ = .140; P = .28). Adhesiolysis rates were stable over time (ρ = -.18; P = .17), although there were significant downward trends in patients older than age 65 (ρ = -.55; P = .01) and age 15 to 44 (ρ = -.84; P < .01). CONCLUSIONS: There has been no significant change in overall rates of SBO or adhesiolysis from 1988 to 2007. For adhesiolysis, there were decreasing trends when stratified by age. Further research is required to understand the factors associated with adhesion-related complications. |
| | |
Authors:
|
Frank I Scott; Mark T Osterman; Najjia N Mahmoud; James D Lewis |
Related Documents
:
|
20976149 - Aging and visual counting. 12928269 - Changes in blindness prevalence over 16 years in malawi: reduced prevalence but increas... 11412879 - Color vision deficiencies in gilles de la tourette syndrome. 3619739 - Age covariance between 100-hue color scores and quantitative perimetry in primary open ... 23607739 - The anti wrinkle efficacy of synthetic hexapeptide (argireline) in chinese subjects. 9683149 - Normal values for fundus perimetry with the scanning laser ophthalmoscope. 17251439 - Age-related decline in vip-positive parasympathetic nerve fibers in the human submacula... 3110819 - Diazepam, behavior, and aging: increased sensitivity or lower baseline performance? 19379139 - A slow life in hell or a fast life in heaven: demographic analyses of contrasting roe d... |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural Date: 2012-05-09 |
Journal Detail:
|
Title: American journal of surgery Volume: 204 ISSN: 1879-1883 ISO Abbreviation: Am. J. Surg. Publication Date: 2012 Sep |
Date Detail:
|
Created Date: 2012-08-27 Completed Date: 2012-10-29 Revised Date: 2013-04-17 |
Medline Journal Info:
|
Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 315-20 Citation Subset: AIM; IM |
Copyright Information:
|
Copyright © 2012 Elsevier Inc. All rights reserved. |
Affiliation:
|
Division of Gastroenterology, Department of Medicine, University of Pennsylvania, Perelman School of Medicine, 3400 Spruce St., Ravdin 3, Philadelphia, PA 19104, USA. frankis@mail.med.upenn.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Age Distribution Aged Female Humans Intestinal Obstruction / epidemiology*, etiology, surgery* Intestine, Small / pathology*, surgery* Laparoscopy / adverse effects, statistics & numerical data Male Middle Aged Patient Discharge / statistics & numerical data, trends* Tissue Adhesions / complications, epidemiology, surgery Treatment Outcome United States / epidemiology |
| Grant Support | |
ID/Acronym/Agency:
|
K24 DK078228/DK/NIDDK NIH HHS; K24-DK078228/DK/NIDDK NIH HHS; T32 DK007066-36/DK/NIDDK NIH HHS; T32-DK007066-36/DK/NIDDK NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Disability index in a randomized controlled trial of emergency sclerotherapy versus portacaval shunt...
Next Document: Influence of obesity on complications and costs after intestinal surgery.