From: Poor prognostic factors in patients who underwent surgery for acute non-occlusive ischemic colitis
No. of patients (%) | |||
---|---|---|---|
Died (n = 15) | Survived (n = 35) | P -value a | |
Mean age (years) ± SD | 67.33 ± 12.87 | 69.26 ± 14.79 | 0.664 |
Gender | 0.545 | ||
Male | 9 (60.0) | 17 (48.6) | |
Female | 6 (40.0) | 18 (51.4) | |
Smoking | 7 (46.7) | 13 (37.1) | 0.547 |
Alcohol habit | 3 (20.0) | 13 (37.1) | 0.328 |
Mean BMI (Kg/m2) ± SD | 23.18 ± 2.86 | 22.39 ± 3.74 | 0.468 |
Liver cirrhosis | 2 (13.3) | 3 (8.6) | 0.629 |
Nephropathy | 8 (53.3) | 6 (17.1) | 0.016 |
Diabetes | 4 (26.7) | 10 (28.6) | 1.000 |
Hypertension | 7 (46.7) | 16 (45.7) | 1.000 |
Respiratory diseaseb | 0 (0) | 2 (5.7) | 1.000 |
Coronary artery disease | 7 (46.7) | 6 (17.1) | 0.040 |
Atrial fibrillation | 4 (26.7) | 7 (20.0) | 0.713 |
Previous abdominal surgeryc | 6 (40.0) | 6 (17.1) | 0.146 |
Previous cardiovascular surgeryd | 6 (40.0) | 3 (8.6) | 0.015 |
ASA score (≥4)e | 14 (93.3) | 20 (57.1) | 0.019 |
Localization of ischemia | 0.445 | ||
Right colon | 2 (13.3) | 9 (25.7) | |
Transverse colon | 0 (0) | 3 (8.6) | |
Left colon | 10 (66.7) | 23 (60.0) | |
Entire colon | 1 (6.7) | 2 (5.7) | |
Preoperative initial symptoms | |||
Abdominal pain | 14 (93.3) | 32 (91.4) | 1.000 |
Hematochezia | 4 (26.7) | 11 (31.4) | 1.000 |
Diarrhea | 3 (20.0) | 8 (22.9) | 1.000 |
Surgical delay (≥3 days) | 11 (73.3) | 12 (34.3) | 0.015 |
Peritoneal irritation | 11 (73.3) | 22 (62.9) | 0.533 |
Preoperative SIRS | 10 (66.7) | 15 (42.9) | 0.217 |
Hemodynamic instability | 12 (80.0) | 15 (42.9) | 0.029 |
Preoperative use of vasopressors | 9 (60.0) | 9 (25.7) | 0.028 |
Preoperative laboratory data | |||
WBC (k/uL) | 1315 ± 6.59 | 1421 ± 9.16 | 0.687 |
CRP (mg/dL) | 13.56 ± 7.92 | 10.47 ± 11.62 | 0.353 |
Urea (mg/dL) | 41.98 ± 25.01 | 26.08 ± 20.77 | 0.024 |
Creatinine (mg/dL) | 4.64 ± 9.74 | 1.54 ± 1.30 | 0.068 |
Lactate (mmol/L) | 2.84 ± 2.69 | 3.08 ± 2.88 | 0.791 |
Type of surgery | 0.492 | ||
Rt. Hemicolectomy | 1 (6.7) | 7 (20.0) | |
T-colon segmental resection | 0 (0) | 3 (8.6) | |
Lt. hemicolectomy | 3 (20.0) | 5 (14.3) | |
Sigmoid resection | 7 (46.7) | 11 (31.4) | |
Subtotal/Total colectomy | 4 (26.7) | 7 (20.0) | |
Colostomy | 0 (0) | 2 (5.7) | |
Emergency surgery | 14 (93.3) | 29 (82.9) | 0.659 |
Bowel perforation | 6 (40.0) | 12 (34.3) | 0.754 |
Stoma formation | 12 (80.0) | 22 (62.9) | 0.328 |
Operative time (min) | 236.1 ± 86.0 | 213.0 ± 81.4 | 0.370 |
Estimated blood loss (>1000 mL) | 7 (46.7) | 10 (28.6) | 0.329 |
Intraoperative blood transfusion | 9 (60.0) | 17 (48.6) | 0.545 |
Intraoperative use of vasopressors | 9 (60.0) | 10 (28.6) | 0.056 |