Factors Predicting the Hospital Mortality of Patients with Corrosive Gastrointestinal Injuries Receiving Esophagogastrectomy in the Acute Stage
| العنوان: | Factors Predicting the Hospital Mortality of Patients with Corrosive Gastrointestinal Injuries Receiving Esophagogastrectomy in the Acute Stage |
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| المؤلفون: | Chia-Hua Lee, Yu-Tang Chang, Hsien-Pin Li, Meei-Feng Huang, Shah-Hwa Chou, Ka-Wo Lee |
| المصدر: | World Journal of Surgery. 34:2383-2388 |
| بيانات النشر: | Springer Science and Business Media LLC, 2010. |
| سنة النشر: | 2010 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Caustics, Esophagogastrectomy, Physical examination, Gastrectomy, Predictive Value of Tests, Epidemiology, medicine, Humans, Hospital Mortality, Aged, Retrospective Studies, medicine.diagnostic_test, business.industry, Retrospective cohort study, Perioperative, Middle Aged, Prognosis, Surgery, Cardiac surgery, Esophagectomy, Gastrointestinal Tract, Logistic Models, Predictive value of tests, Acute Disease, Female, business, Abdominal surgery |
| الوصف: | The aim of this study was to identify the preoperative factors that affect the survival of patients who undergo esophagogastrectomy after corrosive ingestion, using analysis of their physiological condition, associated diseases, physical examination, and laboratory data.Between January 1995 and December 2005, 71 consecutive patients who underwent esophagogastrectomy for corrosive ingestion injuries were retrospectively reviewed. Of them, 41 survived and 30 (42.3%) died during the perioperative period. Logistic regression analyses were used to model markers for postoperative mortality, including descriptive data, clinical symptoms/signs, and laboratory data.There were 35 males and 36 females included in the study, with an average age of 54.7 +/- 14.9 years. After adjustments in the logistic regression model, age of over 65 years (p = 0.021), presence of gross hematuria (p = 0.016), twofold level of serum AST (p = 0.012), blood pH level below 7.2 (p = 0.017), and deficit of blood base over 16 (p = 0.007) were found to be independent risk factors for patient mortality.We consider age over 65 years, preoperative pH7.2, base deficit16, twofold level of serum AST, and presence of gross hematuria to be the important factors predicting postoperative hospital mortality in patients presenting with corrosive ingestion injuries who require emergency surgery. |
| تدمد: | 1432-2323 0364-2313 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fc07448320f0404e2b6b1490ef0f551aTest https://doi.org/10.1007/s00268-010-0646-6Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....fc07448320f0404e2b6b1490ef0f551a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14322323 03642313 |
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