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- W4306178897 abstract "INTRODUCTION: Umbilical hernia in adults is most commonly acquired in patients with conditions that increase intra-abdominal pressure, such as pregnancy, obesity, ascites, or chronic abdominal distention. Although the incidence of umbilical hernia is known, the prevalence in patients who are surgically naive has not been reported. METHODS: Retrospective chart review of all patients with a CT abdomen and pelvis from September to October 2017 was performed. Patients with an abdominal surgical history were excluded. CT reports and images were reviewed for evidence of a fascial defect at the umbilicus and prevalence was calculated. Past medical and social history was analyzed to identify independent factors that increase a patient’s odds of having an umbilical hernia. RESULTS: A total of 500 patients with CT abdomen and pelvis scans were reviewed: 183 of 500 were included in the study; 119 of 183 had evidence of fascial defect at the umbilicus. Univariate analysis revealed independent statistically significant risk factors that included age, hypertension, diabetes, congestive heart failure, coronary artery disease, asthma, alcohol use, and BMI. Using a multivariate logistic regression model, age, asthma, and BMI were significant risk factors for the presence of an umbilical hernia. CONCLUSION: The estimated prevalence of umbilical hernia in this small population of surgically naive patients is 65% based on CT findings. Statistically significant risk factors after multivariate logistic regression include age, history of asthma, and increasing BMI (Table 1). Given that this is a small, retrospective observational study, further research is needed to elucidate the true prevalence in the general adult population. Table 1. - Multivariate Logistic Regression Analysis Variable Odds ratio (95% CI) p Value Age 1.026 (1.002–1.052) 0.0334 Hypertension 0.801 (0.33–1.93) 0.6211 Diabetes 1.083 (0.40–3.07) 0.8768 Congestive heart failure 5.547 (0.89–108.72) 0.1235 Coronary artery disease 5.802 (0.86–119.59) 0.1274 Asthma 6.464 (1.77–31.83) 0.0094 Alcohol 0.742 (0.34–1.60) 0.4474 BMI 1.097 (1.04–1.16) 0.0007" @default.
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- W4306178897 date "2022-10-17" @default.
- W4306178897 modified "2023-09-25" @default.
- W4306178897 title "The Prevalence of Umbilical Hernia in Adult Surgically Naive Patients" @default.
- W4306178897 doi "https://doi.org/10.1097/01.xcs.0000893736.74131.9c" @default.
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