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  1. Colostomy closure : Impact of preoperative risk factors on morbidity.

    Article - En anglais

    The objective of this study was to stratify patients for colostomy closure into risk categories according to preoperative variables.

    This was a retrospective case series.

    Median follow-up was 82 months.

    A tertiary care academic medical center was the setting for this study.

    A study sample of 155 consecutive patients who underwent colostomy closure at a single institution between 1985 and 1995 were included in this study.

    The following preoperative variables were analyzed :

    • indication for colostomy fashioning ;

    • age ;

    • gender ;

    • American Society of Anesthesiology (ASA) class ;

    • presence of cardiac, renal, or pulmonary dysfunctions ;

    • presence of diabetes mellitus ;

    • and immunosuppression.

    The occurrence of adverse outcome, as evidenced by postoperative morbidity and mortality, was used as the main outcome measure.

    Complications occurred in 49 patients (31.6%), including a 1.3 per cent mortality.

    There was a trend of increasing morbidity with increasing ASA class.

    The single factor that showed a statistically significant increase in morbidity was the presence of diabetes (P=0.036).

    Predicted probabilities of complications for patients with ASA III with renal disease was 31 per cent, increased to 47.9 per cent if cardiac disease was also present and to 77 per cent with the addition of diabetes.

    The presence of diabetes carries an independent risk factor for adverse outcome in colostomy closure. (...)

    Mots-clés Pascal : Colostomie, Fermeture, Etude longitudinale, Préopératoire, Facteur risque, Complication, Morbidité, Homme, Chirurgie, Appareil digestif pathologie, Côlon pathologie

    Mots-clés Pascal anglais : Colostomy, Closure, Follow up study, Preoperative, Risk factor, Complication, Morbidity, Human, Surgery, Digestive diseases, Colonic disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0172584

    Code Inist : 002B25G02. Création : 16/11/1999.