{"id":4036,"date":"2022-06-17T12:44:00","date_gmt":"2022-06-17T15:44:00","guid":{"rendered":"https:\/\/revistaabcd.org.br\/?p=4036"},"modified":"2022-10-13T12:47:47","modified_gmt":"2022-10-13T15:47:47","slug":"risk-factors-for-reoperation-morbidity-and-mortality-in-patients-with-small-bowel-obstruction-submitted-to-surgical-treatment","status":"publish","type":"post","link":"https:\/\/revistaabcd.org.br\/pt-br\/risk-factors-for-reoperation-morbidity-and-mortality-in-patients-with-small-bowel-obstruction-submitted-to-surgical-treatment\/","title":{"rendered":"RISK FACTORS FOR REOPERATION, MORBIDITY, AND MORTALITY IN PATIENTS WITH SMALL BOWEL OBSTRUCTION SUBMITTED TO SURGICAL TREATMENT"},"content":{"rendered":"<h2 class=\"wp-block-heading\">ABSTRACT - BACKGROUND:<\/h2>\n\n\n\n<p>Small bowel obstruction (SBO) is a frequent cause of emergency department admissions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">AIM:<\/h2>\n\n\n\n<p>This study aimed to determine risk factors of reoperations, postoperative adverse event, and operative mortality (OM) in patients surgically treated for SBO.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">METHODS:<\/h2>\n\n\n\n<p>This is a retrospective study conducted between 2014 and 2017. Exclusion criteria include gastric outlet obstruction, large bowel obstruction, and incomplete clinical record. STATA version 14 was used for statistical analysis, with p-value &lt;0.05 with 95% confidence interval considered statistically significant.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">RESULTS:<\/h2>\n\n\n\n<p>A total of 218 patients were included, in which 61.9% were women. Notably, 88.5% of patients had previous abdominal surgery. Intestinal resection was needed in 28.4% of patients. Postoperative adverse event was present in 28.4%, reoperation was needed in 9.2% of cases, and a 90-day surgical mortality was 5.9%. Multivariate analysis determined that intestinal resection, &gt;3 days in intensive care unit (ICU), &gt;7 days with nasogastric tube (NGT), pain after postoperative day 3, POAE, and surgical POAE were the risk factors for reoperations, while age, C-reactive protein, intestinal resection, &gt;3 days in ICU, and &gt;7 days with NGT were the risk factors for POAE. OM was determined by &gt;5 days with NGT and POAE.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">CONCLUSIONS:<\/h2>\n\n\n\n<p>Postoperative course is determined mainly for patient\u2019s age, preoperative level of C-reactive protein, necessity of intestinal resection, clinical postoperative variables, and the presence of POAE.<\/p>","protected":false},"excerpt":{"rendered":"<p>ABSTRACT - BACKGROUND: Small bowel obstruction (SBO) is a frequent cause of emergency department admissions. AIM: This study aimed to determine risk factors of reoperations, postoperative adverse event, and operative mortality (OM) in patients surgically treated for SBO. METHODS: This is a retrospective study conducted between 2014 and 2017. Exclusion criteria include gastric outlet obstruction, [&hellip;]<\/p>","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[9],"tags":[354,1104,594,1105,412,572],"class_list":["post-4036","post","type-post","status-publish","format-standard","hentry","category-original-article","tag-intestinal-obstruction","tag-intestine","tag-mortality","tag-reoperation","tag-risk-factors","tag-small"],"acf":[],"modified_by":"Giovani","_links":{"self":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/4036"}],"collection":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/comments?post=4036"}],"version-history":[{"count":0,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/4036\/revisions"}],"wp:attachment":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/media?parent=4036"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/categories?post=4036"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/tags?post=4036"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}