Delay to Intervention for Complicated Diverticulitis is Associated with Higher Inpatient Mortality
| Autor: | Christy E. Cauley, Naomi M. Sell, Richard A. Hodin, Rocco Ricciardi, Todd D. Francone, Hiroko Kunitake, Caitlin Stafford, Robert N. Goldstone, Liliana Bordeianou |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Inpatient mortality business.industry Perforation (oil well) Gastroenterology Diverticulitis medicine.disease Comorbidity Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Intervention (counseling) Diverticular disease medicine 030211 gastroenterology & hepatology business Abscess Complication |
| Zdroj: | Journal of Gastrointestinal Surgery. 25:2920-2927 |
| ISSN: | 1873-4626 1091-255X |
| DOI: | 10.1007/s11605-021-04972-9 |
| Popis: | Patients with diverticular disease complicated by abscess and/or perforation represent the most severely afflicted with the highest mortality and poorest outcomes. This study investigated patient and operative factors associated with poor outcomes from diverticulitis complicated by abscess or perforation. We analyzed the National Inpatient Sample to identify inpatient discharges for colonic diverticulitis in the United States from 1/1988 to 9/2015. We identified patients with perforation and/or intestinal abscess based on ICD-9 codes. The primary outcome was inpatient mortality. During the study period, a total of 993,220 patients were discharged with diverticulitis from sampled U.S. hospitals. From this group, 10.7% had an abscess and 1.0% had a perforation associated with diverticular disease. Inpatient mortality of diverticulitis patients with a perforation was 5.4% compared to 1.5% in those without a perforation (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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