The preoperative SOFA score and remnant small intestine length are postoperative risk factors for mortality in patients with non-occlusive mesenteric ischemia : a case-control study

Umemoto, Kazufumi; Kato, Kentaro; Yamabuki, Takumi et al.

Acute Medicine & Surgery, 2023, 10(1), e821

Permalink : https://hdl.handle.net/2115/88803

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https://doi.org/10.1002/ams2.821     21

論文情報

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アクセス権
open access
URI
https://hdl.handle.net/2115/88803
タイトル
The preoperative SOFA score and remnant small intestine length are postoperative risk factors for mortality in patients with non-occlusive mesenteric ischemia : a case-control study
著者
Umemoto, Kazufumi ; Kato, Kentaro ; Yamabuki, Takumi ; Takada, Minoru ; Ambo, Yoshiyasu ; Nakamura, Fumitaka ; Hirano, Satoshi
著者名
Umemoto, Kazufumi
著者名
Kato, Kentaro
著者名
Yamabuki, Takumi
著者名
Takada, Minoru
著者名
Ambo, Yoshiyasu
著者名
Nakamura, Fumitaka
e-Rad_Researcher
50322813
著者名
Hirano, Satoshi
言語
英語
キーワード
Acute mesenteric ischemia
intestinal length
non-occlusive mesenteric ischemia
perioperative mortality
SOFA score
発行日
2023-01
出版者
John Wiley & Sons
収録物名
Acute Medicine & Surgery
巻(号)
10(1)
ページ
e821
抄録
AimNon-occlusive mesenteric ischemia (NOMI) is a fatal condition with a low survival rate in most cases. The risk factors for perioperative mortality in NOMI cases are unclear. The purpose of this study was to define the risk factors for mortality in patients with NOMI undergoing surgery. MethodsThirty-eight consecutive patients who underwent surgery for NOMI at Teine Keijinkai Hospital between 2012 and 2020 were included in the study. Patient information, including age, sex, physical findings, comorbidities, laboratory data, and computed tomography and surgical findings were retrospectively analyzed. ResultsOf the 38 patients, 18 (47%) died before discharge. Significant univariate predictors of mortality were a high Sequential Organ Failure Assessment (SOFA) score, high lactate level, low blood pH, and short intestinal length after surgery. In the multivariate analysis, a high SOFA score (odds ratio 1.33, P = 0.036) and short intestine length after surgery (odds ratio 34.7, P = 0.003) were identified as independent risk factors for perioperative mortality. ConclusionThe preoperative SOFA score and postoperative residual intestinal length may be predictors of death in NOMI surgical patients, not age and the content of comorbidities.
資源タイプ
学術雑誌論文
出版タイプ
Version of Record
PISSN
2052-8817
関連情報 (isIdenticalTo)
出版社版DOI
https://doi.org/10.1002/ams2.821