Open abdomen and entero-atmospheric fistulae: An interim analysis from the International Register of Open Abdomen (IROA).
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Coccolini Federico, Ceresoli Marco, Kluger Yoram, Kirkpatrick Andrew, Montori Giulia, Salvetti Fracensco, Fugazzola Paola, Tomasoni Matteo, Sartelli Massimo, Ansaloni Luca, Catena Fausto, Negoi Ionut, Zese Monica, Occhionorelli Savino, Shlyapnikov Sergei, Galatioto Christian, Chiarugi Massimo, Demetrashvili Zaza, Dondossola Daniele, Ioannidis Orestis, Novelli Giuseppe, Nacoti Mirco, Khor Desmond, Inaba Kenji, Demetriades Demetrios, Kaussen Torsten, Jusoh Asri Che, Ghannam Wagih, Sakakushev Boris, Guetta Ohad, Dogjani Agron, Costa Stefano, Singh Sandeep, Damaskos Dimitrios, Isik Arda, Yuan Kuo-Ching, Trotta Francesco, Rausei Stefano, Martinez-Perez Aleix, Bellanova Giovanni, Fonseca ViniciusCordeiro, Hernández Fernando, Marinis Athanasios, Fernandes Wellington, Quiodettis Martha, Bala Miklosh, Vereczkei Andras, Curado Rafael, Fraga Gustavo Pereira, Pereira Bruno M, Gachabayov Mahir, Chagerben Guillermo Perez, Arellano Miguel Leon, Ozyazici Sefa, Costa Gianluca, Tezcaner Tugan, Porta Matteo, Li Yousheng, Karateke Faruk, Manatakis Dimitrios, Mariani Federico, Lora Federic, Sahderov Ivan, Atanasov Boyko, Zegarra Sergio, Gianotti Luca, Fattori Luca, Ivatury Rao
Аннотация
MATERIAL AND METHODS: A prospective analysis of adult patients enrolled in the IROA.
RESULTS: Among 649 adult patients with OA 58 (8.9%) developed EAF. Indications for OA were peritonitis (51.2%) and traumatic-injury (16.8%). The most frequently utilized temporary abdominal closure techniques were Commercial-NPWT (46.8%) and Bogotà-bag (21.9%). Mean OA days were 7.9 ± 18.22. Overall mortality rate was 29.7%, with EAF having no impact on mortality. Multivariate analysis associated cancer (p = 0.018), days of OA (p = 0.003) and time to provision-of-nutrition (p = 0.016) with EAF occurrence.
CONCLUSION: Entero-atmospheric fistulas are influenced by the duration of open abdomen treatment and by the nutritional status of the patient. Peritonitis, intestinal anastomosis, negative pressure and oral or enteral nutrition were not risk factors for EAF during OA treatment.