![](/images/graphics-bg.png)
Preoperative Risk Factors for Short-Term Postoperative Mortality of Acute Mesenteric Ischemia after Laparotomy: A Systematic Review and Meta-Analysis
المؤلفون المشاركون
Liu, Jianbo
Wu, Wenhan
Zhou, Zongguang
المصدر
Emergency Medicine International
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-12، 12ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-10-05
دولة النشر
مصر
عدد الصفحات
12
التخصصات الرئيسية
الملخص EN
Objective.
Our objective was to comprehensively present the evidence of preoperative risk factors for short-term postoperative mortality of acute mesenteric ischemia after laparotomy.
Methods.
PubMed, Embase, and Google Scholar were searched from January 2000 to January 2020.
Studies evaluating the postoperative risk factors for short-term postoperative mortality of acute mesenteric ischemia after laparotomy were included.
The outcome extracted were patients’ demographics, medical history, and preoperative laboratory tests.
Results.
Twenty studies (5011 patients) met the inclusion criteria.
Studies were of high quality, with a median Newcastle-Ottawa Scale Score of 7.
Summary short-term postoperative mortality was 44.38% (range, 18.80%–67.80%).
Across included studies, 49 potential risk factors were examined, at least two studies.
Meta-analysis of predictors based on more than three studies identified the following preoperative risk factors for higher short-term postoperative mortality risk: old age (odds ratio [OR], 1.90, 95% confidence interval [CI], 1.57–2.30), arterial occlusive mesenteric ischemia versus mesenteric venous thrombosis (OR, 2.45, 95% CI 1.12–5.33), heart failure (OR 1.33, 95% CI 1.03–1.72), renal disorders (OR 1.61, 95% CI 1.24–2.07), and peripheral vascular disease (OR 1.38, 95% CI 1.00–1.91).
Nonsurvivors were older (standardized mean difference [SMD], 0.32, 95% CI 0.24–0.40), had higher creatinine levels (SMD 0.50, 95% CI 0.25–0.75), and had lower platelet counts (SMD −0.32, 95% CI −0.50 to −0.14).
Conclusion.
The short-term postoperative mortality of acute mesenteric ischemia who underwent laparotomy is still high.
A better understanding of these risk factors may help in the early identification of high-risk patients, optimization of surgical procedure, and improvement of perioperative management.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Wu, Wenhan& Liu, Jianbo& Zhou, Zongguang. 2020. Preoperative Risk Factors for Short-Term Postoperative Mortality of Acute Mesenteric Ischemia after Laparotomy: A Systematic Review and Meta-Analysis. Emergency Medicine International،Vol. 2020, no. 2020, pp.1-12.
https://search.emarefa.net/detail/BIM-1158994
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Wu, Wenhan…[et al.]. Preoperative Risk Factors for Short-Term Postoperative Mortality of Acute Mesenteric Ischemia after Laparotomy: A Systematic Review and Meta-Analysis. Emergency Medicine International No. 2020 (2020), pp.1-12.
https://search.emarefa.net/detail/BIM-1158994
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Wu, Wenhan& Liu, Jianbo& Zhou, Zongguang. Preoperative Risk Factors for Short-Term Postoperative Mortality of Acute Mesenteric Ischemia after Laparotomy: A Systematic Review and Meta-Analysis. Emergency Medicine International. 2020. Vol. 2020, no. 2020, pp.1-12.
https://search.emarefa.net/detail/BIM-1158994
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1158994
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
![](/images/ebook-kashef.png)
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
![](/images/kashef-image.png)