Journal article
Postoperative outcomes in patients with perforated bowel: early versus late intervention
The Journal of surgical research, Vol.203(1), pp.75-81
06/01/2016
DOI: 10.1016/j.jss.2016.03.023
PMID: 27338537
Abstract
Time to intervention is suggested to be a crucial factor for a number of surgical conditions. In this study, we aim to examine the postoperative outcomes associated with the timing of surgical intervention in patients with perforated bowel.
Cross-sectional study using the Nationwide Inpatient Sample database, 2003-2010. The study population included adult (≥18 y) inpatients who had perforated intestine or colon and underwent bowel surgery.
A total of 5412 (64.6%) patients who had an early surgical intervention on same day of admission and 2985 (35.4%) patients who had a delayed surgery were included. Patients with comorbidities or those in hospitals in the Northeast region of the United States were more likely to have a delayed intervention (P < 0.01). In low-risk patients who are aged <65 y old and with no comorbidities, the timing of surgery did not associate with the risk of postoperative complications (P = 0.77) and mortality (P = 0.08), whereas in high-risk patients who are aged ≥65 y old or with comorbidities, an early surgical intervention was associated with a lower risk of complications (odds ratio: 0.77; 95% CI: 0.69-0.87; P < 0.001), and a lower mortality risk (odds ratio: 0.79; 95% CI: 0.68-0.92; P = 0.002). Patients with a delayed intervention were associated with a hospital stay >15 d (P < 0.001) and a higher cost of health services (P < 0.01).
Patients treated in the Northeast of the United States were more likely to experience a delayed surgery. Delay of surgical intervention is associated with unfavorable outcomes only in older patients or those with comorbidities.
Details
- Title: Subtitle
- Postoperative outcomes in patients with perforated bowel: early versus late intervention
- Creators
- Zaid Al-Qurayshi - Tulane UniversitySudesh Srivastav - Tulane UniversityEmad Kandil - Tulane University
- Resource Type
- Journal article
- Publication Details
- The Journal of surgical research, Vol.203(1), pp.75-81
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.jss.2016.03.023
- PMID
- 27338537
- ISSN
- 0022-4804
- eISSN
- 1095-8673
- Number of pages
- 7
- Language
- English
- Date published
- 06/01/2016
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984702823702771
Metrics
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