Prognostic significance of comorbidities in patients with diffuse peritonitis

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F22%3A10157277" target="_blank" >RIV/00098892:_____/22:10157277 - isvavai.cz</a>

Result on the web

<a href="https://link.springer.com/article/10.1007/s10353-022-00780-w" target="_blank" >https://link.springer.com/article/10.1007/s10353-022-00780-w</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s10353-022-00780-w" target="_blank" >10.1007/s10353-022-00780-w</a>

Result language

angličtina

Original language name

Prognostic significance of comorbidities in patients with diffuse peritonitis

Original language description

Background: Diffuse peritonitis is a severe disease with high mortality and morbidity rates. Therapy is fundamentally surgical. It is important to identify patients with a significantly worse prognosis and patients who may benefit from more aggressive surgical and postsurgical care such as NPWT (Narrow Pressure Wound Therapy) prior to surgery. We tried to identify a determining factor for higher morbidity and mortality rates resulting in a worse prognosis among initial data and patient comorbidities in order to focus therapy towards more aggressive surgical management. Methods: In a group of 274 patients with diffuse peritonitis, we evaluated the type of peritonitis according to effusion, origin, surgery type, and the age, gender, and present comorbidities of the patients, and compared it with the overall mortality, morbidity rate, and duration of hospitalization. Results: Patients without comorbidities had a significantly lower burden in both morbidity and mortality. We recorded the highest difference in mortality in patients with two or more comorbidities, with pulmonary and cardiovascular diseases, with malignancy and hypertension. Morbidity was found to be significantly exacerbated by the presence of two or more severe diseases, cardiovascular disease, malignancy, and hypertension. Conclusion: We identified age, effusion type, and the presence of comorbidities as key factors for the prognosis of our patients—the morbidity and mortality rates were substantially increased in patients with two or more comorbidities, as well as by the presence of cardiovascular disease, malignancy, and hypertension. A more aggressive approach should be considered to improve the prognosis in these patients.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

European Surgery-Acta Chirurgica Austriaca

ISSN

1682-8631

e-ISSN

1682-4016

Volume of the periodical

54

Issue of the periodical within the volume

6

Country of publishing house

AT - AUSTRIA

Number of pages

8

Pages from-to

309-316

UT code for WoS article

000870663700001

EID of the result in the Scopus database

2-s2.0-85140213727