Preoperative Risk Factors for Short-Term Postoperative Mortality of Acute Mesenteric Ischemia after Laparotomy: A Systematic Review and Meta-Analysis
Joint Authors
Liu, Jianbo
Wu, Wenhan
Zhou, Zongguang
Source
Emergency Medicine International
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-10-05
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1158994