Analysis of Mortality Outcomes and Predictive Factors Following Colorectal Emergency Surgery
Purpose Despite improvements in surgical technology, patients who undergo colorectal emergency surgery still have high mortality and complication rates. This places a high burden on the surgeons and the medical institutions who employ them. Mortality outcomes following emergency colorectal surgery w...
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| Format: | Article |
| Language: | English |
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Korean Society of Acute Care Surgery
2025-03-01
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| Series: | Journal of Acute Care Surgery |
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| Online Access: | http://jacs.or.kr/upload/pdf/jacs-2025-15-1-20.pdf |
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| _version_ | 1849310321013948416 |
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| author | Sung Hwan Cho Gyung Mo Son Byung-Soo Park Hyun Sung Kim |
| author_facet | Sung Hwan Cho Gyung Mo Son Byung-Soo Park Hyun Sung Kim |
| author_sort | Sung Hwan Cho |
| collection | DOAJ |
| description | Purpose Despite improvements in surgical technology, patients who undergo colorectal emergency surgery still have high mortality and complication rates. This places a high burden on the surgeons and the medical institutions who employ them. Mortality outcomes following emergency colorectal surgery were analyzed and risk factors associated with mortality were identified. Methods Data from patients who were admitted through the Emergency Room from June 2019 to December 2021 and underwent emergency colorectal surgery performed by a single surgeon were retrospectively analyzed. Surgical and medical records of various clinicopathological factors and the Mannheim peritonitis index (MPI) scores were compared between survivors and non-survivors. Results During the study period, 164 patients underwent colorectal emergency surgery. Following surgery, 24 patients (14.6%) died during their hospital stay. The American Society of Anesthesiologists Classification, the MPI score, indication of surgery, and comorbid disease were factors which showed statistically significant differences between the survivor and non-survivor groups. In particular, in the patients with an MPI score of ≥ 30, 22 of 49 deaths occurred. Conclusion Patients undergoing emergency colorectal surgery exhibit high postoperative mortality rates. By identifying these patients before surgery, and allocating appropriate surgical and intensive care resources to them, medical resources can be utilized more efficiently, and mortality rates can be reduced. |
| format | Article |
| id | doaj-art-e48c9d3b82d44a179b15d2a10f1b1e95 |
| institution | Kabale University |
| issn | 2288-5862 2288-9582 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Korean Society of Acute Care Surgery |
| record_format | Article |
| series | Journal of Acute Care Surgery |
| spelling | doaj-art-e48c9d3b82d44a179b15d2a10f1b1e952025-08-20T03:53:46ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822025-03-01151202510.17479/jacs.2025.15.1.20315Analysis of Mortality Outcomes and Predictive Factors Following Colorectal Emergency SurgerySung Hwan ChoGyung Mo SonByung-Soo ParkHyun Sung KimPurpose Despite improvements in surgical technology, patients who undergo colorectal emergency surgery still have high mortality and complication rates. This places a high burden on the surgeons and the medical institutions who employ them. Mortality outcomes following emergency colorectal surgery were analyzed and risk factors associated with mortality were identified. Methods Data from patients who were admitted through the Emergency Room from June 2019 to December 2021 and underwent emergency colorectal surgery performed by a single surgeon were retrospectively analyzed. Surgical and medical records of various clinicopathological factors and the Mannheim peritonitis index (MPI) scores were compared between survivors and non-survivors. Results During the study period, 164 patients underwent colorectal emergency surgery. Following surgery, 24 patients (14.6%) died during their hospital stay. The American Society of Anesthesiologists Classification, the MPI score, indication of surgery, and comorbid disease were factors which showed statistically significant differences between the survivor and non-survivor groups. In particular, in the patients with an MPI score of ≥ 30, 22 of 49 deaths occurred. Conclusion Patients undergoing emergency colorectal surgery exhibit high postoperative mortality rates. By identifying these patients before surgery, and allocating appropriate surgical and intensive care resources to them, medical resources can be utilized more efficiently, and mortality rates can be reduced.http://jacs.or.kr/upload/pdf/jacs-2025-15-1-20.pdfcolorectal surgeryemergencymortalityintensive care |
| spellingShingle | Sung Hwan Cho Gyung Mo Son Byung-Soo Park Hyun Sung Kim Analysis of Mortality Outcomes and Predictive Factors Following Colorectal Emergency Surgery Journal of Acute Care Surgery colorectal surgery emergency mortality intensive care |
| title | Analysis of Mortality Outcomes and Predictive Factors Following Colorectal Emergency Surgery |
| title_full | Analysis of Mortality Outcomes and Predictive Factors Following Colorectal Emergency Surgery |
| title_fullStr | Analysis of Mortality Outcomes and Predictive Factors Following Colorectal Emergency Surgery |
| title_full_unstemmed | Analysis of Mortality Outcomes and Predictive Factors Following Colorectal Emergency Surgery |
| title_short | Analysis of Mortality Outcomes and Predictive Factors Following Colorectal Emergency Surgery |
| title_sort | analysis of mortality outcomes and predictive factors following colorectal emergency surgery |
| topic | colorectal surgery emergency mortality intensive care |
| url | http://jacs.or.kr/upload/pdf/jacs-2025-15-1-20.pdf |
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