Prolonged Postoperative Ileus in Colorectal Surgery Within an Enhanced Recovery Protocol: a Multivariate Analysis

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F22%3A43925294" target="_blank" >RIV/00064173:_____/22:43925294 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00064203:_____/22:10427617 RIV/00216208:11130/22:10427617

Výsledek na webu

<a href="https://doi.org/10.1007/s12262-021-02899-8" target="_blank" >https://doi.org/10.1007/s12262-021-02899-8</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s12262-021-02899-8" target="_blank" >10.1007/s12262-021-02899-8</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Prolonged Postoperative Ileus in Colorectal Surgery Within an Enhanced Recovery Protocol: a Multivariate Analysis

Popis výsledku v původním jazyce

Prolonged postoperative ileus (PPOI) is a significant cause of postoperative morbidity contributing to delayed hospital discharge and increased treatment costs. The aim of this study was to identify factors influencing prolonged postoperative ileus within a cohort of patients undergoing colorectal surgery within an early recovery after surgery (ERAS) protocol. Data were collected from a prospectively managed database of patients undergoing colorectal surgery within an ERAS protocol. Patient characteristics, operative details and ERAS protocol items were tested to see if they were associated with PPOI. Fisher&apos;s tests were used for categorical variables, and Student&apos;s t tests were used for continuous variables. Factors with p-values less than 0.05 in univariate analysis were included in a multivariate logistic regression model to identify independent factors influencing PPOI. A total of 374 patients who underwent colorectal resections between April 2016 and May 2020 were included in the study. Prolonged postoperative ileus occurred in sixty-two patients (16.6%). Early feeding, early mobilisation, mechanical bowel preparation, mini-invasive approaches and rectal surgery were more frequent in patients without PPOI. Right hemicolectomy and a history of previous major abdominal surgery were more frequent in patients with PPOI. On multivariate analysis, early mobilisation and mini-invasive approaches were identified as independent protective factors and major abdominal surgery as an independent risk factor. Awareness of the identified factors is important for improving outcome of patients after colorectal surgery.

Název v anglickém jazyce

Prolonged Postoperative Ileus in Colorectal Surgery Within an Enhanced Recovery Protocol: a Multivariate Analysis

Popis výsledku anglicky

Prolonged postoperative ileus (PPOI) is a significant cause of postoperative morbidity contributing to delayed hospital discharge and increased treatment costs. The aim of this study was to identify factors influencing prolonged postoperative ileus within a cohort of patients undergoing colorectal surgery within an early recovery after surgery (ERAS) protocol. Data were collected from a prospectively managed database of patients undergoing colorectal surgery within an ERAS protocol. Patient characteristics, operative details and ERAS protocol items were tested to see if they were associated with PPOI. Fisher&apos;s tests were used for categorical variables, and Student&apos;s t tests were used for continuous variables. Factors with p-values less than 0.05 in univariate analysis were included in a multivariate logistic regression model to identify independent factors influencing PPOI. A total of 374 patients who underwent colorectal resections between April 2016 and May 2020 were included in the study. Prolonged postoperative ileus occurred in sixty-two patients (16.6%). Early feeding, early mobilisation, mechanical bowel preparation, mini-invasive approaches and rectal surgery were more frequent in patients without PPOI. Right hemicolectomy and a history of previous major abdominal surgery were more frequent in patients with PPOI. On multivariate analysis, early mobilisation and mini-invasive approaches were identified as independent protective factors and major abdominal surgery as an independent risk factor. Awareness of the identified factors is important for improving outcome of patients after colorectal surgery.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

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

Název periodika

Indian Journal of Surgery

ISSN

0972-2068

e-ISSN

0973-9793

Svazek periodika

84

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

IN - Indická republika

Počet stran výsledku

5

Strana od-do

340-344

Kód UT WoS článku

000647541700002

EID výsledku v databázi Scopus

2-s2.0-85105170339