Predictive factors of mortality after colectomy in ischemic colitis: an ACS-NSQIP database study

Trauma Surgery & Acute Care Open
Joshua TsengRodrigo F Alban

Abstract

Surgical intervention for ischemic colitis is associated with significant postoperative morbidity and mortality. Predictive factors of adverse outcomes have been reported in the literature, but are based on small sample populations. We sought to identify risk factors for mortality after emergent colectomy for ischemic colitis using a clinical outcomes database. The American College of Surgeons National Surgical Quality Improvement Project database was queried from 2010 to 2015 to identify emergent colectomies performed for ischemic colitis using Current Procedural Terminology and International Classification of Diseases, Ninth Revision codes. Univariate and multivariate logistic regression analysis was used to identify independent risk factors associated with increased risk of mortality. A total of 4548 patients undergoing emergent colectomies for ischemic colitis were identified. Overall, 30-day postoperative mortality was 25.3%. On univariate analysis, preoperative risk factors associated with a higher rate of mortality include dyspnea, functional status, ventilator dependency, history of chronic obstructive pulmonary disease, ascites, congestive heart failure exacerbation, hypertension, dialysis dependency, cancer, open woun...Continue Reading

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Citations

Nov 20, 2018·Scandinavian Journal of Gastroenterology·Kalle LanderholmRichard Guy
Aug 8, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S Amore BonapastaG Longo
Nov 11, 2019·International Journal of Colorectal Disease·Asad JehangirEugene P York
Jun 27, 2018·Journal of Clinical Medicine·Faruk PehlivanlıÇağatay Erden Daphan
May 15, 2021·International Journal of Colorectal Disease·Dustin J UhlenhoppVinaya Gaduputi
Dec 7, 2021·Current Opinion in Gastroenterology·Rabia Rizwan, Paul Feuerstadt

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Methods Mentioned

BETA
surgical resection

Software Mentioned

SPSS

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