[Spinal anesthesia versus general anesthesia for inguinal hernia repair: propensity score analysis].
Identifieur interne : 000176 ( Main/Exploration ); précédent : 000175; suivant : 000177[Spinal anesthesia versus general anesthesia for inguinal hernia repair: propensity score analysis].
Auteurs : Imen Samaali [Tunisie] ; Samia Ben Osman ; Riadh Bedoui ; Ibtissem Bouasker ; Youssef Chaker ; Anis Slama ; Mohamed Houissa ; Ramzi Nouira ; Chadli DziriSource :
- La Tunisie medicale [ 0041-4131 ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
- Wicri :
- geographic : Tunisie.
English descriptors
- KwdEn :
- MESH :
- geographic : Tunisia.
- surgery : Hernia, Inguinal.
- Anesthesia, General, Anesthesia, Spinal, Female, Humans, Length of Stay, Male, Middle Aged, Postoperative Complications, Propensity Score, Prospective Studies.
Abstract
BACKGROUND
Administrative database, used previously for control of cost, patient flow and invoicing, offer to researchers a large sample of patients representative of population providing interesting information's in the field of descriptive and analytic epidemiology with less cost.
AIM
To compare spinal to general anesthesia for inguinal hernia repair concerning a population extracted from administrative database after propensity matched analysis.
METHODS
Prospective study concerning 4690 hospitalizations in Department B of General Surgery of Charles Nicolle hospital during a period of 18 months, between June 1st, 2008 and December 31st, 2009. A descriptive analysis followed by a comparison between spinal and general anesthesia according propensity matched analysis were performed. Résultats: 595 inguinal hernias were operated on. Mean age was 55±15.We mentioned a male predominance: 326 men (84.2%) and 61 women (15.8%). 137 patients had previous medical diseases(35.4%). 47(12.1%) patients were operated on in emergent situation on the other hand 340(87.9%) had elective surgery.264(68.2%) were ASA I, 110(28.4%) ASA II, 13(3.4%) ASA III. Post operative course were uneventful in 96.1% (372) and complicated in 11 patients (2.9%).Four deaths were observed (1%). Comparison before and after propensity matched analysis showed a statistical difference regarding postoperative stay and all hospital stay in favor of spinal anesthesia (p=0.007).
CONCLUSION
Postoperative stay is significantly shorter in the group of spinal anesthesia (p=0.007). A randomized clinical trial comparing spinal anesthesia to general anesthesia is needed.
PubMed: 23096507
Affiliations:
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Le document en format XML
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uniqKey="Bouasker I" first="Ibtissem" last="Bouasker">Ibtissem Bouasker</name></author><author><name sortKey="Chaker, Youssef" sort="Chaker, Youssef" uniqKey="Chaker Y" first="Youssef" last="Chaker">Youssef Chaker</name></author><author><name sortKey="Slama, Anis" sort="Slama, Anis" uniqKey="Slama A" first="Anis" last="Slama">Anis Slama</name></author><author><name sortKey="Houissa, Mohamed" sort="Houissa, Mohamed" uniqKey="Houissa M" first="Mohamed" last="Houissa">Mohamed Houissa</name></author><author><name sortKey="Nouira, Ramzi" sort="Nouira, Ramzi" uniqKey="Nouira R" first="Ramzi" last="Nouira">Ramzi Nouira</name></author><author><name sortKey="Dziri, Chadli" sort="Dziri, Chadli" uniqKey="Dziri C" first="Chadli" last="Dziri">Chadli Dziri</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:23096507</idno><idno type="pmid">23096507</idno><idno type="wicri:Area/PubMed/Corpus">000644</idno><idno 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xml:lang="fr">Tunisie</country><wicri:regionArea>Hopital Charles Nicolle, Tunis</wicri:regionArea><placeName><settlement type="city">Tunis</settlement><region nuts="2">Gouvernorat de Tunis</region></placeName></affiliation></author><author><name sortKey="Ben Osman, Samia" sort="Ben Osman, Samia" uniqKey="Ben Osman S" first="Samia" last="Ben Osman">Samia Ben Osman</name></author><author><name sortKey="Bedoui, Riadh" sort="Bedoui, Riadh" uniqKey="Bedoui R" first="Riadh" last="Bedoui">Riadh Bedoui</name></author><author><name sortKey="Bouasker, Ibtissem" sort="Bouasker, Ibtissem" uniqKey="Bouasker I" first="Ibtissem" last="Bouasker">Ibtissem Bouasker</name></author><author><name sortKey="Chaker, Youssef" sort="Chaker, Youssef" uniqKey="Chaker Y" first="Youssef" last="Chaker">Youssef Chaker</name></author><author><name sortKey="Slama, Anis" sort="Slama, Anis" uniqKey="Slama A" first="Anis" last="Slama">Anis Slama</name></author><author><name sortKey="Houissa, Mohamed" sort="Houissa, Mohamed" uniqKey="Houissa M" first="Mohamed" last="Houissa">Mohamed Houissa</name></author><author><name sortKey="Nouira, Ramzi" sort="Nouira, Ramzi" uniqKey="Nouira R" first="Ramzi" last="Nouira">Ramzi Nouira</name></author><author><name sortKey="Dziri, Chadli" sort="Dziri, Chadli" uniqKey="Dziri C" first="Chadli" last="Dziri">Chadli Dziri</name></author></analytic><series><title level="j">La Tunisie medicale</title><idno type="ISSN">0041-4131</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anesthesia, General (MeSH)</term><term>Anesthesia, Spinal (MeSH)</term><term>Female (MeSH)</term><term>Hernia, Inguinal (surgery)</term><term>Humans (MeSH)</term><term>Length of Stay (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Postoperative Complications (MeSH)</term><term>Propensity Score (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Tunisia (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Anesthésie générale (MeSH)</term><term>Complications postopératoires (MeSH)</term><term>Durée du séjour (MeSH)</term><term>Femelle (MeSH)</term><term>Hernie inguinale (chirurgie)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Rachianesthésie (MeSH)</term><term>Score de propension (MeSH)</term><term>Tunisie (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Tunisia</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Hernie inguinale</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Hernia, Inguinal</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Anesthesia, General</term><term>Anesthesia, Spinal</term><term>Female</term><term>Humans</term><term>Length of Stay</term><term>Male</term><term>Middle Aged</term><term>Postoperative Complications</term><term>Propensity Score</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Anesthésie générale</term><term>Complications postopératoires</term><term>Durée du séjour</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Rachianesthésie</term><term>Score de propension</term><term>Tunisie</term><term>Études prospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Tunisie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Administrative database, used previously for control of cost, patient flow and invoicing, offer to researchers a large sample of patients representative of population providing interesting information's in the field of descriptive and analytic epidemiology with less cost.</p></div><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>To compare spinal to general anesthesia for inguinal hernia repair concerning a population extracted from administrative database after propensity matched analysis.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Prospective study concerning 4690 hospitalizations in Department B of General Surgery of Charles Nicolle hospital during a period of 18 months, between June 1st, 2008 and December 31st, 2009. A descriptive analysis followed by a comparison between spinal and general anesthesia according propensity matched analysis were performed. Résultats: 595 inguinal hernias were operated on. Mean age was 55±15.We mentioned a male predominance: 326 men (84.2%) and 61 women (15.8%). 137 patients had previous medical diseases(35.4%). 47(12.1%) patients were operated on in emergent situation on the other hand 340(87.9%) had elective surgery.264(68.2%) were ASA I, 110(28.4%) ASA II, 13(3.4%) ASA III. Post operative course were uneventful in 96.1% (372) and complicated in 11 patients (2.9%).Four deaths were observed (1%). Comparison before and after propensity matched analysis showed a statistical difference regarding postoperative stay and all hospital stay in favor of spinal anesthesia (p=0.007).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Postoperative stay is significantly shorter in the group of spinal anesthesia (p=0.007). A randomized clinical trial comparing spinal anesthesia to general anesthesia is needed.</p></div></front></TEI><affiliations><list><country><li>Tunisie</li></country><region><li>Gouvernorat de Tunis</li></region><settlement><li>Tunis</li></settlement></list><tree><noCountry><name sortKey="Bedoui, Riadh" sort="Bedoui, Riadh" uniqKey="Bedoui R" first="Riadh" last="Bedoui">Riadh Bedoui</name><name sortKey="Ben Osman, Samia" sort="Ben Osman, Samia" uniqKey="Ben Osman S" first="Samia" last="Ben Osman">Samia Ben Osman</name><name sortKey="Bouasker, Ibtissem" sort="Bouasker, Ibtissem" uniqKey="Bouasker I" first="Ibtissem" last="Bouasker">Ibtissem Bouasker</name><name sortKey="Chaker, Youssef" sort="Chaker, Youssef" uniqKey="Chaker Y" first="Youssef" last="Chaker">Youssef Chaker</name><name sortKey="Dziri, Chadli" sort="Dziri, Chadli" uniqKey="Dziri C" first="Chadli" last="Dziri">Chadli Dziri</name><name sortKey="Houissa, Mohamed" sort="Houissa, Mohamed" uniqKey="Houissa M" first="Mohamed" last="Houissa">Mohamed Houissa</name><name sortKey="Nouira, Ramzi" sort="Nouira, Ramzi" uniqKey="Nouira R" first="Ramzi" last="Nouira">Ramzi Nouira</name><name sortKey="Slama, Anis" sort="Slama, Anis" uniqKey="Slama A" first="Anis" last="Slama">Anis Slama</name></noCountry><country name="Tunisie"><region name="Gouvernorat de Tunis"><name sortKey="Samaali, Imen" sort="Samaali, Imen" uniqKey="Samaali I" first="Imen" last="Samaali">Imen Samaali</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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