Document Detail


Postoperative mortality risk factors in colorectal cancer: follow up of a cohort in a specialised unit
MedLine Citation:
PMID:  19963211     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The treatment of colorectal cancer (CRC) is usually surgical and involves morbidity-mortality. The aim of this study is to quantify the postoperative mortality in our hospital and to determine their risk factors. MATERIALS AND METHODS: Prospective observational study from 1996 to 2007 included 1017 patients who underwent surgery for CRC in our hospital. Identification of independent risk factors for postoperative mortality by multivariate analysis. RESULTS: The mean age was 67.8 years. The surgery was elective in 879 (86.5%) and was considered curative in 878 (86.1%). The postoperative mortality was 3.6% (37 patients), 2.5% in the elective surgery and 10.9% in the urgent. The independent risk factors identified were: type of surgery (odds ratio for urgent vs. elective=2.8), American Society of Anesthesiologists (ASA) grade (odds ratio for ASA III-IV vs. I-II=2.4), age (odds ratio for age > or = 85 vs. < or = 74=7.6 and age 75-84 vs. < or = 74=2.4). CONCLUSIONS: We found a low postoperative mortality, which was mainly associated with age over 75 years, ASA III or IV stages and urgent surgery.
Authors:
José Errasti Alustiza; Baltasar Cermeño Toral; Eugenia Campo Cimarras; José Antonio Romeo Ramírez; José Domingo Sardón Ramos; Lorena Reka Mediavilla; Iratxe Arrillaga Alcorta; Naiara Parraza Díez
Publication Detail:
Type:  English Abstract; Journal Article     Date:  2009-12-05
Journal Detail:
Title:  Cirugía española     Volume:  87     ISSN:  0009-739X     ISO Abbreviation:  Cir Esp     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-09     Completed Date:  2010-07-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1254104     Medline TA:  Cir Esp     Country:  Spain    
Other Details:
Languages:  spa     Pagination:  101-7     Citation Subset:  IM    
Copyright Information:
Copyright 2009 AEC. Published by Elsevier Espana. All rights reserved.
Affiliation:
Servicio de Cirugía General, Hospital Txagorritxu, Vitoria-Gasteiz, España. jose.errastialustiza@osakidetza.net
Vernacular Title:
Factores de riesgo de mortalidad postoperatoria en el cáncer colorrectal: seguimiento de una cohorte en una unidad especializada.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Colorectal Neoplasms / mortality*,  surgery*
Female
Follow-Up Studies
Hospital Units
Humans
Male
Middle Aged
Postoperative Complications / mortality*
Prospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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