دورية أكاديمية
Results of surgery for perforated gastroduodenal ulcers in a Dutch population.
| العنوان: | Results of surgery for perforated gastroduodenal ulcers in a Dutch population. |
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| المؤلفون: | Hemmer PH; Department of Surgery, Leeuwarden Medical Center, Leeuwarden, The Netherlands. p.h.j.hemmer@umcg.nl, de Schipper JS, van Etten B, Pierie JP, Bonenkamp JJ, de Graaf PW, Karsten TM |
| المصدر: | Digestive surgery [Dig Surg] 2011; Vol. 28 (5-6), pp. 360-6. Date of Electronic Publication: 2011 Nov 12. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: S. Karger Country of Publication: Switzerland NLM ID: 8501808 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1421-9883 (Electronic) Linking ISSN: 02534886 NLM ISO Abbreviation: Dig Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Basel ; New York : S. Karger, [c1984- |
| مواضيع طبية MeSH: | Duodenal Ulcer/*surgery , Peptic Ulcer Perforation/*mortality , Peptic Ulcer Perforation/*surgery , Stomach Ulcer/*surgery, Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Duodenal Ulcer/complications ; Emergencies ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Netherlands ; Peptic Ulcer Perforation/etiology ; Retrospective Studies ; Shock/complications ; Stomach Ulcer/complications ; Tachycardia/complications ; Young Adult |
| مستخلص: | Objective: Despite improvements in anesthesiology and intensive care medicine, mortality for perforated gastroduodenal ulcer disease remains high. This study was designed to evaluate the results of surgery for perforated ulcer disease and to identify prognostic factors for mortality in order to optimize treatment. Patients and Methods: The medical records of 272 patients undergoing emergency surgery for perforated ulcer disease from 2000 to 2005 in two large teaching hospitals and one university hospital in the Netherlands were retrospectively analyzed. Information on 89 pre-, peri- and postoperative data were recorded. Statistical analysis was performed using multiple logistic regression analysis. The primary endpoint was 30-day mortality. Results: The 30-day mortality rate was 16%. Variables associated with 30-day mortality were age, shock, tachycardia, anemia and ASA class. Conclusions: A relatively low 30-day mortality rate was achieved. Age, shock, tachycardia and anemia were significantly associated with 30-day mortality. Finding that shock, tachycardia and anemia are independently associated with 30-day mortality could indicate that patients are septic upon admission. Improvements in survival might be achieved by early sepsis treatment. (Copyright © 2011 S. Karger AG, Basel.) |
| تواريخ الأحداث: | Date Created: 20111117 Date Completed: 20120518 Latest Revision: 20120130 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1159/000331320 |
| PMID: | 22086121 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1421-9883 |
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| DOI: | 10.1159/000331320 |