What is the predictor of surgical mortality in adult colorectal perforation? The clinical characteristics and results of a multivariate logistic regression analysis

Surgery Today

Volumn 47, Issue 6, 2017, Pages 683-689

  Hsu, Chao Wen ^a,b   Wang, Jui Ho ^a   Kung, Ya Hsin ^a,b   Chang, Min Chi ^a  

^a KAOHSIUNG VETERANS GENERAL HOSPITAL   (Taiwan)

^b NATIONAL YANG MING UNIVERSITY   (Taiwan)

Author keywords

Colorectal; Perforation; Predictor; Surgical mortality

Indexed keywords

ADULT; AGE; AGED; AMERICAN SOCIETY OF ANESTHESIOLOGISTS SCORE; ARTICLE; ASTHMA; BLOOD TRANSFUSION; CEREBROVASCULAR DISEASE; CHRONIC OBSTRUCTIVE LUNG DISEASE; COLON INJURY; COLON ULCER; COLORECTAL CANCER; COLORECTAL PERFORATION; COMORBIDITY; CONGESTIVE CARDIOMYOPATHY; DIABETES MELLITUS; DIGESTIVE SYSTEM DISEASE ASSESSMENT; DIVERTICULITIS; FEMALE; FUNCTIONAL STATUS ASSESSMENT; HEART ARRHYTHMIA; HINCHEY CLASSIFICATION; HUMAN; HYPERTENSION; IATROGENIC DISEASE; ISCHEMIC COLITIS; ISCHEMIC HEART DISEASE; KIDNEY FAILURE; LARGE INTESTINE PERFORATION; LUNG EMPHYSEMA; MAJOR CLINICAL STUDY; MALE; MORTALITY RATE; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; OPERATION DURATION; OUTCOME ASSESSMENT; PERIOPERATIVE PERIOD; PREDICTOR VARIABLE; PREOPERATIVE EVALUATION; PROCTOCOLITIS; PROGNOSIS; REOPERATION; RETROSPECTIVE STUDY; SEPSIS; SEPTIC SHOCK; SURGICAL MORTALITY; SURGICAL PATIENT; VALVULAR HEART DISEASE; ABDOMINAL SURGERY; COLONIC DISEASES; COLORECTAL TUMOR; COMPLICATION; INTESTINAL PERFORATION; MIDDLE AGED; MORTALITY; RECTAL DISEASES; REGRESSION ANALYSIS; VERY ELDERLY;

ADULT; AGED; AGED, 80 AND OVER; COLONIC DISEASES; COLORECTAL NEOPLASMS; DIGESTIVE SYSTEM SURGICAL PROCEDURES; DIVERTICULITIS; FEMALE; HUMANS; INTESTINAL PERFORATION; MALE; MIDDLE AGED; PROCTOCOLITIS; RECTAL DISEASES; REGRESSION ANALYSIS; RETROSPECTIVE STUDIES;

EID: 84988589058     PISSN: 09411291     EISSN: 14362813     Source Type: Journal    
DOI: 10.1007/s00595-016-1415-4     Document Type: Article

References (29)

1. Bohnen J, et al. Prognosis in generalized peritonitis. Relation to cause and risk factors. Arch Surg. 1983;118:285–90.
2. Constantinides VA, Tekkis PP, Senapati A. Comparison of POSSUM scoring systems and the surgical risk scale in patients undergoing surgery for complicated diverticular disease. Dis Colon Rectum. 2006;49:1322–31.
3. Vermeulen J, et al. Long-term survival after perforated diverticulitis. Colorectal Dis. 2011;13:203–9.
4. Vermeulen J, et al. Outcome after emergency surgery for acute perforated diverticulitis in 200 cases. Dig Surg. 2007;24:361–6.
5. Chen HS, Sheen-Chen SM. Obstruction and perforation in colorectal adenocarcinoma: an analysis of prognosis and current trends. Surgery. 2000;127:370–6.
6. Abdelrazeq AS, et al. The impact of spontaneous tumour perforation on outcome following colon cancer surgery. Colorectal Dis. 2008;10:775–80.
7. Αngeliki Theodoropoulou IEΚ. Ischemic colitis: clinical practice in diagnosis and treatment. World J Gastroenterol. 2008;14:7302–8.
8. Longo WE, Ballantyne GH, Gusberg RJ. Ischemic colitis: patterns and prognosis. Dis Colon Rectum. 1992;35:726–30.
9. Hinchey EJ, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg. 1978;12:85–109.
10. Biondo S, et al. Intraoperative colonic lavage and primary anastomosis in peritonitis and obstruction. Br J Surg. 1997;84:222–5.
11. M K. Diverticular disease. In: Allan RN, Keighley MRB, Alexander-Williams J, Hawkins C, editors. Inflammatory bowel diseases. Edinburgh: Churchill Livingstone; 1983. p. 504–11.
12. Stephen M, Loewenthal J. Generalized infective peritonitis. Surg Gynecol Obstet. 1978;147:231–4.
13. New classification of physical status. Anesthesiology. 1963;24:111.
14. Glance LG, et al. The surgical mortality probability model: derivation and validation of a simple risk prediction rule for noncardiac surgery. Ann Surg. 2012;255:696–702.
15. Visnjevac O, et al. The effect of adding functional classification to ASA status for predicting 30-day mortality. Anesth Analg. 2015;121:110–6.
16. Leung JM, Dzankic S. Relative importance of preoperative health status versus intraoperative factors in predicting postoperative adverse outcomes in geriatric surgical patients. J Am Geriatr Soc. 2001;49:1080–5.
17. Krukowski ZH, Matheson NA. Emergency surgery for diverticular disease complicated by generalized and faecal peritonitis: a review. Br J Surg. 1984;71:921–7.
18. Wood CD. Acute perforations of the colon. Dis Colon Rectum. 1977;20:126–9.
19. D’Alia C, et al. Iatrogenic injuries to the colon. Chir Ital. 2004;56:675–82.
20. Kriwanek S, et al. Perforated colorectal cancer. Dis Colon Rectum. 1996;39:1409–14.
21. Newman JR, Cooper MA. Lower gastrointestinal bleeding and ischemic colitis. Can J Gastroenterol. 2002;16:597–600.
22. Scharff JR, et al. Ischemic colitis: spectrum of disease and outcome. Surgery. 2003;134:624–9 (discussion 629–630).
23. Gandhi SK, et al. Ischemic colitis. Dis Colon Rectum. 1996;39:88–100.
24. MacDonald PH. Ischaemic colitis. Best Pract Res Clin Gastroenterol. 2002;16:51–61.
25. Sato H, Tatsumura T, Yamamoto K. A perforated non-specific ulcer of the cecum as seen in a 2-year-old female. Surg Today. 1992;22:376–8.
26. Losanoff JE, et al. Nonspecific ulcers of the colon. Endoscopy. 2003;35:521–5.
27. Johnson CD. Acute scybalous colonic obstruction and perforation. Ann R Coll Surg Engl. 1996;78:157–8.
28. Hudspeth AS. Radical surgical debridement in the treatment of advanced generalized bacterial peritonitis. Arch Surg. 1975;110:1233–6.
29. Katayama H, et al. Extended Clavien–Dindo classification of surgical complications: Japan Clinical Oncology Group postoperative complications criteria. Surg Today. 2016;46(6):668–85.