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Table 5 Clinical characteristics and outcomes of patients and studies in the two different time periods

From: Acute paraesophageal hernia with gastric volvulus. Results of surgical treatment: a systematic review and meta-analysis

Variables

(Weighted average)

TOTAL

(Nº studies = 171) (Nº cases = 15,178)

1990–2015

(Nº studies = 89)

(Nº cases = 6,260)

2016–2024

(Nº studies = 82)

(Nº cases = 8,918)

p *

Age (years)

75.3 ± 13.9

70.2 ± 12.3

77.7 ± 13.6

0.0115

BMI (Kg/m2)

26.9 ± 3.1

26.6 ± 4.2

27.3 ± 2.2

0.4673

Total leukocytes (10e3/uL)

15,056 ± 6,008

17,291 ± 6,464

17,417 ± 5,397

0.9433

Creatinine (mg/dL)

2.1 ± 1.2

2.8 ± 0.9

1.9 ± 1.3

0.2162

Lactate (mml/l)

2.6 ± 0.9

3.0 ± 0.2

2.5 ± 0.8

0.4054

Intratoracic stomach volume (%)

84.1 ± 17.1

78.4 ± 16.4

80.1 ± 13.2

0.6973

Gastric tube production (cc)

1,896 ± 1,827

1,714 ± 942

1,920 ± 2,175

0.3883

Emergency surgery& (%)

    

 Yes

 No

61.1

38.9

68.1

31.9

55.6

44.4

0.003

Laparoscopic approach (%)

    

 Yes

 No

12.7

87.3

30.1

69.9

7.6

92.4

< 0.001

Surgical time (min)

165 ± 67

198 ± 77

140 ± 67

0.0860

Length of hospital stay (days)

7.9 ± 5.3

8.2 ± 2.7

7.9 ± 6.1

0.4611

POC (%)

32.0 ± 24.1

33.0 ± 24.8

28.4 ± 23.1

0.1632

Re-interventions (%)

7.6 ± 2.6

3.2 ± 3.5

14.9 ± 8.6

0.0350

30DM (%)

5.7 ± 2.9

4.1 ± 3.4

6.7 ± 5.9

0.2841

Readmissions (%)

11.0 ± 7.7

56.9 ± 6.6

11.5 ± 7.4

0.0001

Follow-up (months)

15.7 ± 10.7

14.6 ± 9.8

17.0 ± 11.9

0.2146

Recurrence (%)

22.2 ± 5.9

16.4 ± 4.6

8.9 ± 6.7

0.0083

MQ MInCir-T scale (points)

8.9 ± 2.3

9.1 ± 2.6

8.9 ± 2.2

0.5943

MQ MInCir-Pr2 scale (points)

13.4 ± 5.4

13.3 ± 5.4

13.5 ± 5.4

0.8161

  1. p* p-value for the comparison of averages between the periods 1990–2015 and 2016–2024
  2. & Surgery within 24 h after admission
  3. ** There are a couple of studies with a large number of patients who underwent open surgery
  4. *** thoracic and robotic approach
  5. POC: postoperative complications
  6. 30DM: 30-day mortality