About: Predictors of complications from stoma closure in elective colorectal surgery: an assessment from the American College of Surgeons National Surgical Quality Improvement Program (ACSNSQIP)

Facets (new session)
Description
Metadata
Settings
- owl:sameAs
- Inference Rule:

About: Predictors of complications from stoma closure in elective colorectal surgery: an assessment from the American College of Surgeons National Surgical Quality Improvement Program (ACSNSQIP) Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Predictors of complications from stoma closure in elective colorectal surgery: an assessment from the American College of Surgeons National Surgical Quality Improvement Program (ACSNSQIP)
Creator	De Paula, T Keller, · Kiran, · Nemeth, ·
Source	PMC
abstract	BACKGROUND: There is significant morbidity after diverting ileostomy closure, so identifying predictors of complications could be of great benefit. The aim of our study was to evaluate the incidence and risk factors for postoperative morbidity after elective ileostomy closure. METHODS: The ACS-NSQIP dataset was evaluated for elective ileostomy closures from 1/1/2015 to 12/31/2016. Demographic characteristics, operative, and postoperative outcomes were evaluated. The primary outcome was 30-day major morbidity (Clavien class III and greater). Secondary outcomes were rates and predictors of major morbidity, superficial site infection (SSI), reoperation, and readmission from multivariate logistic regression modeling. RESULTS: We retrospectively evaluated 1885 patients. The median operative time was 65 (IQR 50–90) minutes and median length of stay was 3 (IQR 2–5) days. Major morbidity was recorded in 6.7%, including mortality (1.0%), deep/organ space SSI (2.6%), dehiscence (0.8%), reintubation (0.5%), sepsis (1.7%), septic shock (0.8%), and reoperation (3.7%). Readmission was recorded in 9.7% and 6.2% had SSI. Multivariate logistic regression showed male sex (OR 1.584; 95% CI 1.068–2.347; p = 0.022) and longer operative time (OR 1.004; 95% CI 1.001–1.007; p = 0.009) were among those variables associated with increased odds of major morbidity. Dyspnea (OR 2.431; 95% CI 1.139–5.094; p = 0.021) and longer operative time (OR 1.003; 95% CI 1.001–1.007; p = 0.034) were among the independent risk factors for SSI. Male sex (OR 2.246; 95% CI 1.297–3.892; p = 0.004, chronic obstructive pulmonary disease (OR 2.959; 95% CI 1.153–7.591; p = 0.024), and longer operative time (OR 1.005; 95% CI 1.001–1.009; p = 0.011) were associated with increased odds of reoperation. Chronic obstructive pulmonary disease (OR 2.578; 95% CI 1.338–4.968; p = 0.005), wound infection (OR 2.680; 95% CI 1.043–6.890; p = 0.041), and inflammatory bowel disease (OR 2.565; 95% CI 1.203–5.463; p = 0.015) were associated with increased odds of readmission. CONCLUSIONS: Elective stoma closure has significant risk of morbidity. Patients with longer operative times were at increased risk for major morbidity, overall SSI, and reoperation. From the analysis, factors specifically associated with major morbidity, overall infectious complications, readmissions, and reoperations were identified. This information can be used to prospectively prepare for these high-risk patients, potentially improving postoperative outcomes. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10151-020-02307-5) contains supplementary material, which is available to authorized users.
has issue date	2020-07-22(xsd:dateTime)
bibo:doi	10.1007/s10151-020-02307-5
bibo:pmid	32696174
has license	no-cc
sha1sum (hex)	d1e43bbf847aaf7fe260c5e55bbe0c87fc04ae64
schema:url	https://doi.org/10.1007/s10151-020-02307-5
resource representing a document's title	Predictors of complications from stoma closure in elective colorectal surgery: an assessment from the American College of Surgeons National Surgical Quality Improvement Program (ACSNSQIP)
has PubMed Central identifier	PMC7373840
has PubMed identifier	32696174
schema:publication	Tech Coloproctol
resource representing a document's body	covid:d1e43bbf847aaf7fe260c5e55bbe0c87fc04ae64#body_text
is schema:about of	named entity 'SSI' named entity 'This' named entity 'readmission' named entity 'logistic regression' named entity 'dehiscence' named entity 'Demographic' named entity 'deep' named entity 'IQR' named entity 'colorectal surgery' named entity 'SECONDARY' named entity 'DAY' named entity 'RISK OF' named entity 'DEMOGRAPHIC CHARACTERISTICS' named entity 'STUDY' named entity 'MEDIAN' named entity 'INCREASED RISK' named entity '203' named entity '297' named entity '6.2' named entity 'REINTUBATION' named entity 'prospectively' named entity 'operative' named entity 'stay' named entity '2016' named entity 'identifying' named entity 'odds' named entity 'diverting' named entity 'reoperation' named entity 'ileostomy' named entity 'factors' named entity 'ileostomy' named entity 'space' named entity 'complications' named entity 'operative' named entity 'risk' named entity 'reoperation' named entity 'evaluate' named entity 'evaluated' named entity 'infection' named entity 'Dyspnea' named entity 'morbidity' named entity 'reoperation' named entity 'sepsis' named entity 'morbidity' named entity '95% CI' named entity 'morbidity' named entity 'morbidity' named entity 'stoma' named entity 'National Surgical Quality Improvement Program' named entity 'American College of Surgeons' named entity '95% CI' named entity 'diagnosis code' named entity 'all-cause' named entity 'ileostomy' named entity 'PUF' named entity '20%' named entity 'reoperation' named entity 'random forest' named entity 'missing data' named entity 'wound infection' named entity 'morbidity' named entity '1, 2' named entity 'SSI' named entity 'ileostomy' named entity 'ACS' named entity 'morbidity rates' named entity 'high-risk' named entity 'SSI' named entity 'etiology' named entity 'ileostomy' named entity 'risk factors' named entity 'comorbidities' named entity 'stoma' named entity 'ileostomy' named entity 'morbidity' named entity 'Epidemiology' named entity 'habilitation' named entity 'sepsis'

Faceted Search & Find service v1.13.91 as of Mar 24 2020

Alternative Linked Data Documents: Sponger | ODE Content Formats:

RDF

ODATA

Microdata

About

OpenLink Virtuoso version 07.20.3229 as of Jul 10 2020, on Linux (x86_64-pc-linux-gnu), Single-Server Edition (94 GB total memory)
Data on this page belongs to its respective rights holders.
Virtuoso Faceted Browser Copyright © 2009-2024 OpenLink Software