Risk of emergency colectomy and colostomy in patients with diverticular disease
Risk of emergency colectomy and colostomy in patients with diverticular disease
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DOI：
10.1001/archsurg.140.7.681
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发表时间：
2005-07-01
影响因子：
--
通讯作者：
Flum, DR
中科院分区：
文献类型：
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作者：
Anaya, DA;Flum, DR
假设：憩室炎患者有终生的风险进行紧急结肠切除术和结肠造口术。年龄和复发特征可用于预测这些不良结局的风险。设计：使用事件发生时间分析和逻辑回归来确定紧急结肠切除术/结肠造口术的风险。设置和患者：一项回顾性队列研究，使用全州范围的行政数据库，确定所有因憩室炎非选择性住院的患者（1987-2001）.主要结果测量：急性憩室炎首次发作后非手术治疗患者的紧急结肠切除术和/或结肠造口术。共有25058例患者（平均年龄[+/- SD]，69 [16]岁，60%为女性）因憩室炎首次发作住院。在20136例未经初次手术治疗的患者中，19%的患者复发，年轻患者（< 50岁）比老年患者更容易复发（27% vs 17%，P
Hypothesis: Patients with diverticulitis are at a lifetime risk for emergency colectomy and colostomy. Age and recurrence characteristics can serve to predict the risk for these adverse outcomes.Design: Time-to-event analysis and logistic regression were used to determine the risk of emergency colectomy/colostomy.Setting and Patients: A retrospective cohort study using a statewide administrative database and identifying all patients hospitalized nonelectively for diverticulitis (1987-2001).Main Outcome Measure: Emergency colectomy and/or colostomy in patients treated nonsurgically after a first episode of acute diverticulitis.Results: A total of 25 058 patients (mean age [+/- SD], 69 [16] years, 60% female) were hospitalized for an initial episode of diverticulitis. Of the 20 136 patients treated without initial operation, 19% had recurrences, with younger patients (< 50 years) more likely to have a recurrence than older patients (27% vs 17%, P