Dr Skalal and colleagues from Switzerland assessed the risk factors associated with mortality and morbidity following emergency or urgent colorectal surgery.
All data regarding the 462 patients who underwent emergency colonic resection between 2002 and 2007 at the researchers’ institution were prospectively entered into a computerized database.
The median age of patients was 73 years.
|3 parameters correlated with postoperative morbidity|
|International Journal of Colorectal Diseases|
The most common indications for surgery included Aden carcinomas, complicated diverticulitis, and colonic ischemia.
The research team found that overall mortality and morbidity rates were 14% and 36%, respectively.
In multivariate analysis, the only parameter significantly associated with postoperative mortality was blood loss over 500 cm3.
There were 3 parameters which correlated with postoperative morbidity.
These 3 parameters included an ASA score of 3, colonic ischemia, and stoma creation.
Dr Skalal’s team conclude, “The main risk factors for postoperative morbidity and mortality following emergency colorectal surgery are related to patients’ ASA score, colonic ischemia, and perioperative bleeding.”
“These variables should be considered in the elaboration of future scoring systems to predict outcome of emergency colorectal surgery.”