Unique risks for mortality in patients with end-stage renal disease undergoing nonemergent colorectal surgery - 19/06/14
Abstract |
Background |
The aim of this study was to identify unique risk factors for mortality in patients with end-stage renal disease undergoing nonemergent colorectal surgery.
Methods |
A multivariate logistic regression model predicting 30-day mortality was constructed for patients with end-stage renal disease undergoing nonemergent colorectal procedures. Data were obtained from the National Surgical Quality Improvement Program (2005–2010).
Results |
Among the 394 patients analyzed, those with serum creatinine levels >7.5 mg/dL had .07 times the adjusted mortality risk of those with levels <3.5 mg/dL. For colorectal surgery patients, the average serum creatinine level was 5.52 ± 2.6 mg/dL, and mortality was 13% (n = 50).
Conclusions |
High serum creatinine was associated with a lower risk for mortality in patients with end-stage renal disease, even though creatinine is often considered a risk factor for surgery. These results show how variables from a patient-centered subpopulation can differ in meaning from the general population.
Le texte complet de cet article est disponible en PDF.Keywords : American College of Surgeons National Surgical Quality Improvement Program, End-stage renal disease, Colorectal surgery, Mortality, Serum creatinine
Plan
| The American College of Surgeons National Surgical Quality Improvement Program and its participating hospitals are the sources of the data used herein; they have not verified and are not responsible for the statistical validity of the data analysis or the conclusions derived by the authors. |
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| The authors declare no conflicts of interest. |
Vol 208 - N° 1
P. 41-44 - juillet 2014 Retour au numéro
Article précédent
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