A Prediction Model for Recognizing Strangulated Small Bowel Obstruction

Gastroenterology Research and Practice
Xiaming HuangLei Zhuang

Abstract

Early and accurate diagnosis of strangulated small bowel obstruction (SSBO) is difficult. This study aimed to devise a prediction model for predicting the risk of SSBO. A database of 417 patients who had clinical symptoms of intestinal obstruction confirmed by computed tomography (CT) were evaluated for inclusion in this study. Symptoms and laboratory and radiologic findings of these patients were collected after admission. These clinical factors were analyzed using logistic regression. A logistic regression model was applied to identify determinant variables and construct a clinical score that would predict SSBO. Seventy-six patients were confirmed to have SSBO, 169 patients required surgery but had no evidence of intestinal ischemia, and 172 patients were successfully managed conservatively. In multivariate logistic regression analysis, body temperature ≥ 38.0°C, positive peritoneal irritation sign, white blood cell (WBC) count > 10.0 × 10^9/L, thick-walled small bowel ≥3 mm, and ascites were significantly associated with SSBO. A new prediction model with total scores ranging from 0 to 481 was developed with these five variables. The area under the curve (AUC) of the new prediction model was 0.935. Our prediction model is a g...Continue Reading

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Citations

Jan 12, 2020·World Journal of Surgery·Mahdi BouassidaHassen Touinsi
Nov 12, 2020·Acute Medicine & Surgery·Jia Wei Valerie TongVishalkumar Girishchandra Shelat
Mar 17, 2021·Asian Journal of Endoscopic Surgery·Shunsuke HayakawaShuji Takiguchi
May 26, 2021·Diagnostic and Interventional Imaging·Paul LebertMathilde Vermersch
Jun 17, 2021·Current Problems in Surgery·David J DetzKevin Y Pei
Jul 13, 2021·European Journal of Radiology·Bente M de KokShandra Bipat

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Software Mentioned

Statistical Package for Social Sciences ( SPSS )

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