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01-07-2007

Risk Factors for Mortality and Postoperative Complications After Gastrointestinal Surgery

Authors: Lars Tue Sørensen, MD, Afshin Malaki, MD, Peer Wille-Jørgensen, MD, DMSci, Finn Kallehave, MD, Johan Kjærgaard, MD, DMSci, Ulla Hemmingsen, RN, Lisbeth Nørgaard Møller, Torben Jørgensen, MD, DMSci

Published in: Journal of Gastrointestinal Surgery | Issue 7/2007

Abstract

Background

Predictors of a poor surgical outcome are numerous, of which some are well-defined. We aimed to assess risk factors predictive of poor surgical outcome across different gastrointestinal operations related to the patient, the disease, the treatment, and the organization of care.

Methods

Data from 5,255 unselected patients undergoing open gastrointestinal surgery from 1995 through 1998 was prospectively recorded in a clinical database and validated. The database embraced variables related to patient history, preoperative clinical condition, operative findings and complexity, and the surgeon’s training. Variables predictive of mortality and complications occurring within 30 days after surgery were assessed by multiple logistic regression analysis.

Results

After elective operation, the 30-day mortality was 2.8% and major complications occurred in 11.5% of the patients. The corresponding figures in emergency surgery were 13.8% and 30.1%. Independent of elective or emergency surgery, dependent functional status, and type of operation were associated with postoperative mortality. Comorbidity, type of operation, blood loss, and reoperation were predictors of complications regardless of elective or emergency operation. In elective surgery, predictors of poor surgical outcome were high age, comorbidity, malignancy, and the surgeons training, whereas abnormal vital signs values and peritonitis were predictors of poor outcome after emergency surgery.

Conclusion

Premorbid factors, characteristics of the disease, the patients’ preoperative condition, operative factors, and the surgeon’s training are all associated with surgical outcome across different gastrointestinal operations and should be assessed when auditing surgical outcome.

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Title: Risk Factors for Mortality and Postoperative Complications After Gastrointestinal Surgery
Authors: Lars Tue Sørensen, MD
Afshin Malaki, MD
Peer Wille-Jørgensen, MD, DMSci
Finn Kallehave, MD
Johan Kjærgaard, MD, DMSci
Ulla Hemmingsen, RN
Lisbeth Nørgaard Møller
Torben Jørgensen, MD, DMSci
Publication date: 01-07-2007
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 7/2007
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-007-0165-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Risk Factors for Mortality and Postoperative Complications After Gastrointestinal Surgery

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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