Predictors of complications from stoma closure in elective colorectal surgery: an assessment from the American College of Surgeons National Surgical Quality Improvement Program (ACSNSQIP).

Techniques in Coloproctology
T R de PaulaD S Keller

Abstract

There is significant morbidity after diverting ileostomy closure, so identifying predictors of complications could be of great benefit. The aim of our study was to evaluate the incidence and risk factors for postoperative morbidity after elective ileostomy closure. The ACS-NSQIP dataset was evaluated for elective ileostomy closures from 1/1/2015 to 12/31/2016. Demographic characteristics, operative, and postoperative outcomes were evaluated. The primary outcome was 30-day major morbidity (Clavien class III and greater). Secondary outcomes were rates and predictors of major morbidity, superficial site infection (SSI), reoperation, and readmission from multivariate logistic regression modeling. We retrospectively evaluated 1885 patients. The median operative time was 65 (IQR 50-90) minutes and median length of stay was 3 (IQR 2-5) days. Major morbidity was recorded in 6.7%, including mortality (1.0%), deep/organ space SSI (2.6%), dehiscence (0.8%), reintubation (0.5%), sepsis (1.7%), septic shock (0.8%), and reoperation (3.7%). Readmission was recorded in 9.7% and 6.2% had SSI. Multivariate logistic regression showed male sex (OR 1.584; 95% CI 1.068-2.347; p = 0.022) and longer operative time (OR 1.004; 95% CI 1.001-1.007; p = 0....Continue Reading

References

Oct 19, 2005·Archives of Surgery·Herwig PokornyFriedrich Herbst
Nov 1, 2005·Journal of the American College of Surgeons·Orit Kaidar-PersonSteven D Wexner
Aug 10, 2006·Diseases of the Colon and Rectum·Rodrigo Oliva PerezJoaquim Gama-Rodrigues
Mar 29, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Wai Lun LawChi Leung Seto
Oct 24, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·L A WilliamsD Burke
Jun 20, 2008·World Journal of Surgery·S D MansfieldS B Kelly
Aug 8, 2008·The American Journal of Gastroenterology·Ashwin N AnanthakrishnanDavid G Binion
Oct 29, 2008·Journal of the American College of Surgeons·Peter L SchillingJohn D Birkmeyer
Feb 18, 2009·International Journal of Colorectal Disease·Andre ChowSanjay Purkayastha
Feb 21, 2009·Journal of the American College of Surgeons·Neil H HymanSteven R Shackford
Jan 9, 2010·Annals of the Royal College of Surgeons of England·W BarazaS Brown
Mar 27, 2010·Patient Safety in Surgery·Philipp KirchhoffDieter Hahnloser
Jul 26, 2011·Acta chirurgica Belgica·A D'HaeninckA D'Hoore
May 31, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Karla RussekMorris Franklin
Sep 3, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N A HirstD G Jayne
Nov 28, 2013·Surgical Endoscopy·Deborah S KellerConor P Delaney
Mar 29, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jeffrey HammondAnuprita Patkar
Aug 5, 2014·American Journal of Surgery·Deborah S KellerConor P Delaney
Jan 31, 2015·Langenbeck's Archives of Surgery·Mark H HannaAlessio Pigazzi
Mar 27, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A BhallaJ N Lund
Nov 7, 2015·Diseases of the Colon and Rectum·Lindsay A BlissJennifer F Tseng
Nov 19, 2015·Surgery·Christopher T AquinaJohn R T Monson
Sep 18, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Sami A ChadiSteven D Wexner
Sep 28, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A VallanceD G Jayne
Apr 24, 2017·Surgery·Saori GotoUNKNOWN Study Group for Nomogram of the Japanese Society for Cancer of the Colon and Rectum
May 13, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R GarfinkleM Boutros
Oct 14, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S FaragM S Sajid
Mar 18, 2019·American Journal of Surgery·Riccardo LeminiDorin T Colibaseanu
Nov 14, 2019·International Journal of Colorectal Disease·Mohammad HamidiValentine Nfonsam

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