Perioperative risk factors for in-hospital mortality after emergency gastrointestinal surgery

Jin Young Lee, Seung Hwan Lee, Myung Jae Jung, JaeGil Lee

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Few studies have evaluated the risk factors for in-hospital mortality in critically ill surgical patients who have undergone emergency gastrointestinal (GI) surgery. The aim of this study was to identify the risk factors associated with in-hospital mortality in critically ill surgical patients after emergency GI surgery. The medical records of 362 critically ill surgical patients who underwent emergency GI surgery, admitted to intensive care unit between January 2007 and December 2011, were reviewed retrospectively. Perioperative biochemical and clinical parameters of survivors and nonsurvivors were compared. Logistic regression multivariate analysis was performed to identify the independent risk factors of mortality. The in-hospital mortality rate was 15.2% (55 patients). Multivariate analyses revealed cancer-related perforation (odds ratio [OR] 16.671, 95% confidence interval [CI] 2.629-105.721, P=0.003), preoperative anemia (hemoglobin <10g/dL; OR 6.976, 95% CI 1.376-35.360, P=0.019), and preoperative hypoalbuminemia (albumin <2.7 g/dL; OR 9.954, 95% CI 1.603-61.811, P=0.014) were independent risk factors of in-hospital mortality after emergency GI surgery. The findings of this study suggest that in critically ill patients undergoing emergency GI surgery, cancer-related peritonitis, preoperative anemia, and preoperative hypoalbuminemia are associated with in-hospital mortality. Recognizing risk factors at an early stage could aid risk stratification and the provision of optimal perioperative care.

Original languageEnglish
Article numbere4530
JournalMedicine (United States)
Volume95
Issue number35
DOIs
Publication statusPublished - 2016 Jan 1

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Hospital Mortality
Emergencies
Critical Illness
Hypoalbuminemia
Odds Ratio
Confidence Intervals
Anemia
Multivariate Analysis
Perioperative Care
Gastrointestinal Neoplasms
Mortality
Peritonitis
Medical Records
Intensive Care Units
Survivors
Albumins
Hemoglobins
Logistic Models
Regression Analysis
Neoplasms

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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abstract = "Few studies have evaluated the risk factors for in-hospital mortality in critically ill surgical patients who have undergone emergency gastrointestinal (GI) surgery. The aim of this study was to identify the risk factors associated with in-hospital mortality in critically ill surgical patients after emergency GI surgery. The medical records of 362 critically ill surgical patients who underwent emergency GI surgery, admitted to intensive care unit between January 2007 and December 2011, were reviewed retrospectively. Perioperative biochemical and clinical parameters of survivors and nonsurvivors were compared. Logistic regression multivariate analysis was performed to identify the independent risk factors of mortality. The in-hospital mortality rate was 15.2{\%} (55 patients). Multivariate analyses revealed cancer-related perforation (odds ratio [OR] 16.671, 95{\%} confidence interval [CI] 2.629-105.721, P=0.003), preoperative anemia (hemoglobin <10g/dL; OR 6.976, 95{\%} CI 1.376-35.360, P=0.019), and preoperative hypoalbuminemia (albumin <2.7 g/dL; OR 9.954, 95{\%} CI 1.603-61.811, P=0.014) were independent risk factors of in-hospital mortality after emergency GI surgery. The findings of this study suggest that in critically ill patients undergoing emergency GI surgery, cancer-related peritonitis, preoperative anemia, and preoperative hypoalbuminemia are associated with in-hospital mortality. Recognizing risk factors at an early stage could aid risk stratification and the provision of optimal perioperative care.",
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Perioperative risk factors for in-hospital mortality after emergency gastrointestinal surgery. / Lee, Jin Young; Lee, Seung Hwan; Jung, Myung Jae; Lee, JaeGil.

In: Medicine (United States), Vol. 95, No. 35, e4530, 01.01.2016.

Research output: Contribution to journalArticle

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