Hospital discharge rate for umbilical hernia with/without gangrene between 2020 And 2023 in Chile
DOI:
https://doi.org/10.52611/confluencia.2025.1351Keywords:
Umbilical hernia, Hospitalization, Gangrene, Public policies, Age groupAbstract
Introduction: An umbilical hernia is the protrusion of the parietal peritoneum through a defect in the abdominal wall at the level of the umbilicus. Objective: To determine the hospital discharge rate due to umbilical hernia in Chile between 2020 and 2023. Methodology: Observational, descriptive, and cross-sectional study. Data from the Department of Statistics and Health Information on hospital discharges due to umbilical hernia were used, categorized by sex and age group. The hospital discharge rate was calculated. Ethical approval was not required. Result: The overall hospital discharge rate was 29,46 per 100.000 inhabitants. Males showed the highest rate (32,54 per 100.000). The most affected age group was 65-79 years (52,92 per 100.000). Discussion: The lowest rate was recorded in 2020, possibly due to resource prioritization during the pandemic. From 2021, discharge rates increased, peaking in 2022. This may relate to the resumption of elective surgeries and the gradual normalization of hospital services. Men presented higher rates, possibly due to increased intra-abdominal pressure or visceral fat accumulation. The higher incidence in the 65-79 age group may be linked to comorbidities such as ascites, benign prostatic hyperplasia, and obesity. The average hospital stay was 1,87 days, possibly due to case prioritization and optimized post-pandemic protocols. Conclusion: Hospital discharge rates rose from 2021, peaking in 2022. This underscores the importance of early diagnosis and treatment to reduce complications and improve public health policies in Chile regarding umbilical hernias.
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References
Brooks DC, Rosen M, Chen W. Overview of abdominal wall hernias in adults. Epidemiology [Internet]. USA: UpToDate; 2024 [citado el 10 de enero 2025]. Disponible en: https://www.uptodate.com/contents/overview-of-abdominal-wall-hernias-in-adults?search=hernia%20umbilical&source=search_r#H1
Chelén C, López I, Navarro J, Joy-Turner E, Soto MF. Análisis de la tasa de egreso hospitalario por hernia umbilical en el periodo 2019-2022 en Chile [Internet]. Rev Conflu [Internet]. 2024 [citado el 10 de enero 2025]:7. Disponible en: https://doi.org/10.52611/confluencia.2024.1102
Chica Alvarracin PA, Carrera Chinizaca VM, Sagñay Cujilema JC, Sinchiguano Chiluisa JY. Hernia de pared abdominal, diagnóstico y tratamiento. RECIMUNDO [Internet]. 2022 [citado el 10 de enero 2025];6(3):128-35. Disponible en: https://doi.org/10.26820/recimundo/6.(3).junio.2022.128-135
Haskins IN. Hernia Formation: Risk Factors and Biology. Surg Clin North Am [Internet]. 2023 [citado el 10 de enero 2025];103(5):835-46. Disponible en: https://doi.org/10.1016/j.suc.2023.04.020
Pastorino A, Alshuqayfi AA. Strangulated Hernia (Archived) [Internet]. USA: NIH - StatPearls; 2022 [citado el 10 de enero 2025]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK555972/
Henriksen NA, Montgomery A, Kaufmann R, Berrevoet F, East B, Fischer J, et al. Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society. Br J Surg [Internet]. 2020 [citado el 10 de enero 2025];107(3):171-90. Disponible en: https://doi.org/10.1002/bjs.11489
Holt AC, Bamarni S, Leslie SW. Umbilical Hernia. [Internet]. USA: NIH - StatPearls; 2024 [citado el 10 de enero 2025]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK459312/
Draghi F, Cocco G, Richelmi FM, Schiavone C. Abdominal wall sonography: a pictorial review. J Ultrasound [Internet]. 2020 [citado el 10 de enero 2025];23(3):265-78. Disponible en: https://doi.org/10.1007/s40477-020-00435-0
Cossa JP, Pélissier E, Armstrong O, Ngo P. Tratamiento quirúrgico de las hernias umbilicales y epigástricas en adultos. EMC - TQAD [Internet]. 2021 citado el 10 de enero 2025];37(3):1-18. Disponible en: https://doi.org/10.1016/S1282-9129(21)45395-X
Walshaw J, Kuligowska A, Smart NJ, Blencowe NS, Lee MJ. Emergency umbilical hernia management: scoping review. BJS Open [Internet]. 2024 [citado el 14 de enero 2025];8(3):zrae068. Disponible en: https://doi.org/10.1093/bjsopen/zrae068
Siches I, Vega J, Chomalí M, Yarza B, Estay R, Goyenechea M, et al. El impacto de Covid-19 en el Sistema de Salud y propuestas para la reactivación [Internet]. Santiago: Colegio Médico de Chile; 2020 [citado el 10 de enero 2025]. Disponible en: https://www.colegiomedico.cl/wp-content/uploads/2020/08/reactivacion-sanitaria.pdf
Uribe M, Martínez Salinas G, Sepúlveda R, Lanzarini E, García C, Cárcamo C, et al. Efectos de la pandemia en los programas de formación en cirugía. Problemas y soluciones. Rev Cir [Internet]. 2021 [citado el 10 de enero 2025];73(1). Disponible en: http://dx.doi.org/10.35687/s2452-454920210011078
Navas Gámez D, Barrantes Solano MJ, Núñez Segura N. Hernias umbilicales en la población pediátrica. Rev Méd Sinerg [Internet]. 2023 [citado el 12 de enero 2025];8(3);e956. Disponible en: https://doi.org/10.31434/rms.v8i3.956
Shankar H, Sureshkumar S, Gurushankari B, Sreenath GS, Kate V. Factors predicting prolonged hospitalization after abdominal wall hernia repair - a prospective observational study. Turk J Surg [Internet]. 2021 [citado el 24 de enero 2025];37(2):96-102. Disponible en: https://doi.org/10.47717/turkjsurg.2021.4961
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