About: Prediction of Postoperative Mortality in Patients with Organ Failure After Gastric Cancer Surgery

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About: Prediction of Postoperative Mortality in Patients with Organ Failure After Gastric Cancer Surgery Goto Sponge NotDistinct Permalink

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

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Prediction of Postoperative Mortality in Patients with Organ Failure After Gastric Cancer Surgery
Creator	Kim, Han Felix Berlth, • Huh, Yeon-Ju Kong, Seong-Ho Lee, Hyuk-Joon Lee, Kyung-Goo Oh, Seung-Young Park, Ji-Ho Park, Shin-Hoo Son, Young-Gil Suh, Yun-Suhk Tae, • Yang, Han-Kwang Yang, Jun-Young
source	PMC
abstract	BACKGROUND: Scarce data are available on the characteristics of postoperative organ failure (POF) and mortality after gastrectomy. We aimed to describe the causes of organ failure and mortality related to gastrectomy for gastric cancer and to identify patients with POF who are at a risk of failure to rescue (FTR). METHODS: The study examined patients with POF or in-hospital mortality in Seoul National University Hospital between 2005 and 2014. We identified patients at a high risk of FTR by analyzing laboratory findings, complication data, intensive care unit records, and risk scoring including Acute Physiology and Chronic Health Evaluation (APACHE) IV, Sequential Organ Failure Assessment (SOFA) score, and Simplified Acute Physiology Score (SAPS) 3 at ICU admission. RESULTS: Among the 7304 patients who underwent gastrectomy, 80 (1.1%) were identified with Clavien–Dindo classification (CDC) grade ≥ IVa. The numbers of patients with CDC grade IVa, IVb, and V were 48 (0.66%), 11 (0.15%), and 21 (0.29%), respectively. Pulmonary failure (43.8%), surgical site complication (27.5%), and cardiac failure (13.8%) were the most common causes of POF and mortality. Cancer progression (100%) and cardiac events (45.5%) showed high FTR rates. In univariate analysis, acidosis, hypoalbuminemia, SOFA, APACHE IV, and SAPS 3 were identified as risk factors for FTR (P < 0.05). Finally, SAPS 3 was identified as an independent predictive factor for FTR. CONCLUSIONS: Cancer progression and acute cardiac failure were the most lethal causes of FTR. SAPS 3 is an independent predictor of FTR among POF patients after gastrectomy.
has issue date	2020-01-28(xsd:dateTime)
bibo:doi	10.1007/s00268-020-05382-9
bibo:pmid	31993720
has license	no-cc
sha1sum (hex)	dde62ae47d96f566e2bb316f9d73b494e904c072
schema:url	https://doi.org/10.1007/s00268-020-05382-9
resource representing a document's title	Prediction of Postoperative Mortality in Patients with Organ Failure After Gastric Cancer Surgery
has PubMed Central identifier	PMC7223481
has PubMed identifier	31993720
schema:publication	World J Surg
resource representing a document's body	covid:dde62ae47d96f566e2bb316f9d73b494e904c072#body_text
is schema:about of	named entity 'Evaluation' named entity '2005' named entity 'independent' named entity 'POF' named entity 'Health' named entity 'risk' named entity 'FTR' named entity 'Acute' named entity 'POF' named entity 'data' named entity 'Organ' named entity 'Failure' named entity 'SAPS' named entity 'records' named entity 'risk factors' named entity 'Chronic' named entity 'univariate analysis' named entity 'patients' named entity 'gastrectomy' named entity 'acute' named entity 'Cancer' named entity 'ICU' named entity 'surgical site' named entity 'hepatic' named entity 'ventilator' named entity 'pulmonary failure' named entity 'organ failure' named entity 'organ failure' named entity 'Charlson comorbidity index' named entity 'ICU' named entity 'ICU' named entity 'comorbidity' named entity 'myocardial infarction' named entity 'jejunostomy' named entity 'gastrectomy' named entity 'ICU' named entity 'FTR' named entity 'ICU' named entity 'CDC' named entity 'surgical site' named entity 'ventilator' named entity 'organ failure' named entity 'ascites' named entity 'ICU' named entity 'inclusion and exclusion criteria' named entity 'hypoalbuminemia' named entity 'homeostasis' named entity 'heart rate' named entity 'congestive heart failure' named entity 'anemia' named entity 'ICU' named entity 'diabetes mellitus' named entity 'randomized controlled trials' named entity 'medical conditions' named entity 'organ failure' named entity 'surgical techniques' named entity 'organ failure' named entity 'organ failure' named entity 'organ failure' named entity 'organ failure' named entity 'Chronic Health' named entity 'Organ failure' named entity 'mortality rate' named entity 'FTR' named entity 'comorbidities' named entity 'abscess' named entity 'cholecystectomy' named entity 'platelets'

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