Elective versus emergency surgery for ulcerative colitis: a National Surgical Quality Improvement Program analysis

被引:55
|
作者
Patel, Supriya S. [1 ]
Patel, Madhukar S. [2 ]
Goldfarb, Melanie [1 ]
Ortega, Adrian [1 ]
Ault, Glenn T. [1 ]
Kaiser, Andreas M. [1 ]
Senagore, Anthony J. [1 ]
机构
[1] Univ So Calif, Keck Sch Med, Div Colorectal Surg, Los Angeles, CA 90033 USA
[2] Massachusetts Gen Hosp, Dept Surg, Boston, MA 02114 USA
来源
AMERICAN JOURNAL OF SURGERY | 2013年 / 205卷 / 03期
关键词
Ulcerative colitis; Emergency; Elective; Surgery; Medical therapy; POSTOPERATIVE COMPLICATIONS; COLECTOMY; RISK;
D O I
10.1016/j.amjsurg.2012.10.014
中图分类号
R61 [外科手术学];
学科分类号
摘要
BACKGROUND: It is unclear whether advances in the medical management of ulcerative colitis (UC) have altered outcomes for medically intractable disease. Therefore, it is essential to understand the current impact of elective versus emergency surgery for UC. METHODS: The American College of Surgeons National Surgical Quality Improvement Program database was used to compare outcomes for elective versus emergency UC surgery between 2005 and 2010. RESULTS: Four thousand nine hundred sixty-two patients were eligible for study (94% elective and 6% emergent). Emergency surgery patients were significantly older and frequently underwent open surgery. Emergency cases were associated with a higher frequency of cardiac, pulmonary, and renal comorbidities; postoperative complications; longer hospital stays; and higher rates of return to the operating room. CONCLUSIONS: In the era of advanced UC medical therapy, the need for emergency surgery still exists and is associated with substantial morbidity and mortality. Data are needed to determine if earlier selection of surgery would be beneficial. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:333 / 337
页数:5
相关论文
共 50 条
  • [1] Elective versus emergency surgery for ulcerative colitis: a National Surgical Quality Improvement Program analysis Discussion
    不详
    [J]. AMERICAN JOURNAL OF SURGERY, 2013, 205 (03): : 337 - 338
  • [2] Laparoscopic emergency and elective surgery for ulcerative colitis
    Fowkes, L.
    Krishna, K.
    Menon, A.
    Greenslade, G. L.
    Dixon, A. R.
    [J]. COLORECTAL DISEASE, 2008, 10 (04) : 373 - 378
  • [3] "July Effect" in Elective Spine Surgery Analysis of the American College of Surgeons National Surgical Quality Improvement Program Database
    Bohl, Daniel D.
    Fu, Michael C.
    Gruskay, Jordan A.
    Basques, Bryce A.
    Golinvaux, Nicholas S.
    Grauer, Jonathan N.
    [J]. SPINE, 2014, 39 (07) : 603 - 611
  • [4] Emergency surgery for acute diverticulitis: Which operation? A National Surgical Quality Improvement Program study
    Tadlock, Mathew D.
    Karamanos, Efstathios
    Skiada, Dimitra
    Inaba, Kenji
    Talving, Peep
    Senagore, Anthony
    Demetriades, Demetrios
    [J]. JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2013, 74 (06): : 1385 - 1391
  • [5] Comparison of Outcomes Between the National Surgical Quality Improvement Program and an Emergency General Surgery Registry
    DesPain, Robert W.
    Parker, William J.
    Kindvall, Angela T.
    Learn, Peter A.
    Elster, Eric A.
    Jessie, Elliot M.
    Rodriguez, Carlos J.
    Bradley, Matthew J.
    [J]. JOURNAL FOR HEALTHCARE QUALITY, 2021, 43 (02) : 76 - 81
  • [6] Bowel Preparation for Elective Hartmann Operation: Analysis of the National Surgical Quality Improvement Program Database
    Stefanou, Amalia J.
    Kalu, Richard U.
    Tang, Amy
    Reickert, Craig A.
    [J]. SURGICAL INFECTIONS, 2022, 23 (05) : 436 - 443
  • [7] Use of the National Surgical Quality Improvement Program in Orthopaedic Surgery
    Molina, Cesar S.
    Thakore, Rachel V.
    Blumer, Alexandra
    Obremskey, William T.
    Sethi, Manish K.
    [J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2015, 473 (05) : 1574 - 1581
  • [8] Trainee Participation Is Associated With Adverse Outcomes in Emergency General Surgery An Analysis of the National Surgical Quality Improvement Program Database
    Kasotakis, George
    Lakha, Aliya
    Sarkar, Beda
    Kunitake, Hiroko
    Kissane-Lee, Nicole
    Dechert, Tracey
    McAneny, David
    Burke, Peter
    Doherty, Gerard
    [J]. ANNALS OF SURGERY, 2014, 260 (03) : 483 - 493
  • [9] Restorative surgery for ulcerative colitis in the elderly: an analysis of ileal pouch-anal anastomosis procedures from the American College of Surgeons National Surgical Quality Improvement Program
    Pellino, G.
    de Paula, T. Reif
    Lawlor, G.
    Keller, D. S.
    [J]. TECHNIQUES IN COLOPROCTOLOGY, 2020, 24 (12) : 1255 - 1262
  • [10] Restorative surgery for ulcerative colitis in the elderly: an analysis of ileal pouch-anal anastomosis procedures from the American College of Surgeons National Surgical Quality Improvement Program
    G. Pellino
    T. Reif de Paula
    G. Lawlor
    D. S. Keller
    [J]. Techniques in Coloproctology, 2020, 24 : 1255 - 1262