Epidemiology and outcomes of anal abscess in patients on chronic dialysis: a 14-year retrospective study
| العنوان: | Epidemiology and outcomes of anal abscess in patients on chronic dialysis: a 14-year retrospective study |
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| المؤلفون: | Chao-Yu Chen, Ya-Chung Tian, Yueh-An Lu, George Kuo, Yu-Jr Lin, Wei-Chiao Sun, Meng-Hsuan Hsieh, Hsiang-Hao Hsu |
| المصدر: | Clinics, Vol 74, Iss 0 (2019) Clinics Clinics, Volume: 74, Article number: e638, Published: 21 MAR 2019 Clinics; v. 74 (2019); e638 Clinics; Vol. 74 (2019); e638 Universidade de São Paulo (USP) instacron:USP |
| بيانات النشر: | Faculdade de Medicina / USP, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Anal fistula, Male, medicine.medical_specialty, China, medicine.medical_treatment, Chronic Dialysis, Anal Abscess, 030204 cardiovascular system & hematology, End stage renal disease, 03 medical and health sciences, 0302 clinical medicine, Recurrence, Renal Dialysis, Epidemiology, medicine, Humans, 030212 general & internal medicine, Abscess, Survival rate, Dialysis, Aged, Retrospective Studies, Anus Diseases, lcsh:R5-920, business.industry, Perianal Abscess, Retrospective cohort study, End-stage Renal Disease, General Medicine, Length of Stay, Middle Aged, medicine.disease, Surgery, Hospitalization, Survival Rate, Treatment, Anal Fistula, Treatment Outcome, Kidney Failure, Chronic, Original Article, Female, Fissure in Ano, business, lcsh:Medicine (General) |
| الوصف: | Objectives We conducted this retrospective study to elucidate the clinical presentation and outcomes of anal abscess in chronic dialysis patients. Methods We performed a chart review of patients who were hospitalized for anal abscess from Jan. 2002 to Dec. 2015. A total of 3,074 episodes of anal abscess were identified. Of these, 43 chronic dialysis patients with first-time anal abscess were enrolled. Patients were divided into a surgical group and a nonsurgical group according to the treatment received during hospitalization. The baseline characteristics, clinical findings, treatments and outcomes were obtained and analyzed. The endpoints of this study were in-hospital mortality, one-year mortality and one-year recurrence. Results Of the 43 patients, 27 (62.7%) received surgical treatment, and 16 (37.2%) received antibiotic treatment alone. There was no significant difference in age, sex, body mass index, smoking habits, comorbidities, or dialysis characteristics between the two groups. Perianal abscess was the most common type of anal abscess, and 39.5% of patients experienced fistula formation. Most patients had mixed aerobic and anaerobic flora. Our data demonstrate that there was no significant difference in hospital stay, one-year survival or recurrence rate between the surgical group and nonsurgical group. However, there was a trend toward better in-hospital survival in patients who received surgical treatment (p=0.082). Conclusion In chronic dialysis patients with anal abscess, there was no statistically significant difference in clinical presentation and outcomes between the surgical and nonsurgical groups, although the surgical group had a trend of better in-hospital survival. |
| وصف الملف: | text/html; application/pdf; application/xml |
| اللغة: | English |
| تدمد: | 1980-5322 1807-5932 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a502ef43f57ba4977cdcc3301a966662 http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322019000100209&lng=en&tlng=en |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....a502ef43f57ba4977cdcc3301a966662 |
| قاعدة البيانات: | OpenAIRE |
Full Text via ClinicalKey | تدمد: | 19805322 18075932 |
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