Abstract
Ischaemic colitis (IC) is the most common form of intestinal ischaemia with a wide spectrum of severity, with possible risk of death. The purpose of this study was to evaluate predictive factors of in-hospital and short-term mortality, in a cohort of patients with IC. Retrospective analysis of IC cases diagnosed between 2008-2013 in a single tertiary centre, with assessment of factors at the time of diagnosis associated with in-hospital and 90-day mortality. Of the 203 patients included (132 women), 47 (23%) died during the follow-up (median: 16 months). There were 21 patients (45%) who died during hospitalization and at 90 days there were 30 deaths (64% of total). In multivariate analysis, need for vasopressor support (odds ratio (OR) 11.21; 95% confidence interval (CI): 2.31-54.24; p = 0.01), Intermediate or Intensive Care Unit (ICU): admission (OR 7.01; 95% CI: 1.48-33.16; p = 0.014) and atrial fibrillation (OR 4.99; 95% CI: 1.1-26.23; p = 0.048) were independently and significantly associated with in-hospital mortality. Using the coefficients of the estimated logistic model, we calculated a scoring model to predict the occurrence of in-hospital mortality. The presence of all three risk factors predicted a probability of dea...Continue Reading
References
Feb 1, 1966·Gut·A MarstonB C Morson
Jan 1, 1996·Diseases of the Colon and Rectum·S K GandhiW E Longo
Jan 4, 1998·Diseases of the Colon and Rectum·W E LongoD L Kaminski
Oct 1, 1998·Journal of Clinical Gastroenterology·D A Greenwald, L J Brandt
Mar 27, 2004·Alimentary Pharmacology & Therapeutics·P D R HigginsL Laine
Oct 31, 2006·American Journal of Surgery·Michel HuguierFrancois Lacaine
Apr 25, 2007·World Journal of Gastroenterology : WJG·Satohiro MatsumotoSatoshi Shirahama
Jun 9, 2009·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·George F Longstreth, Janis F Yao
Dec 25, 2009·Scandinavian Journal of Gastroenterology·Marco MoseleEnzo Manzato
Aug 14, 2010·Diseases of the Colon and Rectum·Joo Won ChungHannah Kim
Oct 22, 2010·Scandinavian Journal of Gastroenterology·Miguel A MontoroUNKNOWN Workgroup for the Study of Ischaemic Colitis of the Spanish Gastroenterological Association (GTECIE-AEG)
Aug 16, 2011·International Journal of Colorectal Disease·Stephen O'NeillSatheesh Yalamarthi
Jan 7, 2015·The American Journal of Gastroenterology·Lawrence J BrandtUNKNOWN American College of Gastroenterology
Citations
Oct 28, 2019·World Journal of Surgery·George DemetriouSriram Subramonia
Nov 11, 2019·International Journal of Colorectal Disease·Asad JehangirEugene P York
Oct 3, 2019·PeerJ·Zhongheng Zhang
Jul 16, 2020·Journal of Clinical Medicine·Jae Gon LeeChang Soo Eun
Nov 27, 2020·Digestive Diseases and Sciences·Min Young ShinHyun Yong Jeong
Jun 10, 2021·Clinical and Translational Gastroenterology·Shan LiLan Zhong