{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:49:49Z","timestamp":1777448989595,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2024,3,24]],"date-time":"2024-03-24T00:00:00Z","timestamp":1711238400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Atrium Health and Carolinas Laparoscopic and Advanced Surgery Program"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:p>An analysis of ACS-NSQIP open ventral hernia repair (OVHR) data (2017-2019) was performed. Respiratory failure (RF) occurred in 643 patients (1%) and not in 63,213 (99%) (nRF). Respiratory failure patients were older (63.7 vs 57\u00a0years, P &lt; .001) and more comorbid: insulin-dependent diabetes (14.7% vs 5.8%, P &lt; .001), COPD (19.4% vs 5.2%, P &lt; .001), BMI (36.0 vs 32.8, P &lt; .001), and current tobacco use (24.9% vs 17.6%, P &lt; .001). Respiratory failure patients had greater ASA scores (ASA 3: 63.3% vs 47.8%, P &lt; .001), bowel resection (8.2% vs 1.3%, P &lt; .001), component separation (20.1% vs 9.0%, P &lt; .001), operative times (178.4 vs 98.8\u00a0minutes, P &lt; .001), complications (deep wound infections 3.6% vs 1.0%, organ space infections 13.2% vs 1.0%, wound dehiscence 3.1% vs 0.6%, acute renal failure 11.7% vs 0.1%), and hospital stay (13.7 vs 2.3 days), with fewer home discharges (44.3% vs 96.4%) (all P &lt; .001). Respiratory failure patients had higher mortality compared to nRF (20.2% vs 0.1%, P &lt; .001). Respiratory failure after OVHR is rare but correlates closely with significant wound, systemic, and social complications. Preoperative management of risk factors would be appropriate in high-risk patients.<\/jats:p>","DOI":"10.1177\/00031348241241731","type":"journal-article","created":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T02:35:00Z","timestamp":1711334100000},"page":"1916-1918","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors Associated With Respiratory Failure After Open Ventral Hernia Repair: An Evaluation of the NSQIP Database"],"prefix":"10.1177","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1265-1973","authenticated-orcid":false,"given":"William R.","family":"Lorenz","sequence":"first","affiliation":[{"name":"Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis M.","family":"Holland","sequence":"additional","affiliation":[{"name":"Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany S.","family":"Mead","sequence":"additional","affiliation":[{"name":"Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory T.","family":"Scarola","sequence":"additional","affiliation":[{"name":"Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vedra A.","family":"Augenstein","sequence":"additional","affiliation":[{"name":"Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. Todd","family":"Heniford","sequence":"additional","affiliation":[{"name":"Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,24]]},"reference":[{"key":"bibr1-00031348241241731","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2022.06.048"},{"key":"bibr2-00031348241241731","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-019-07181-3"},{"key":"bibr3-00031348241241731","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000436836.96194.a2"},{"key":"bibr4-00031348241241731","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004879"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241241731","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348241241731","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241241731","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:39:41Z","timestamp":1777379981000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348241241731"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,24]]},"references-count":4,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1177\/00031348241241731"],"URL":"https:\/\/doi.org\/10.1177\/00031348241241731","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,24]]}}}