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Titolo:
Risk factors of mortality in perforated peptic ulcer
Autore:
Chou, NH; Mok, KT; Chang, HT; Liu, SI; Tsai, CC; Wang, BW; Chen, IS;
Indirizzi:
Natl Yang Ming Univ, Div Gen Surg, Dept Surg, Vet Gen Hosp, Kaohsiung 813,Taiwan Natl Yang Ming Univ Kaohsiung Taiwan 813 Gen Hosp, Kaohsiung 813,Taiwan
Titolo Testata:
EUROPEAN JOURNAL OF SURGERY
fascicolo: 2, volume: 166, anno: 2000,
pagine: 149 - 153
SICI:
1102-4151(200002)166:2<149:RFOMIP>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
HELICOBACTER-PYLORI INFECTION; DISEASE; TRENDS;
Keywords:
concurrent medical illness; delay treatment; nutrition; Helicobacter pylori (HP); anti-HP treatment; definitive operation; simple closure; albumin;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Chou, NH Natl Yang Ming Univ, Div Gen Surg, Dept Surg, Vet Gen Hosp, 386 Ta Chung 1st Rd, Kaohsiung 813, Taiwan Natl Yang Ming Univ 386 Ta Chung 1st Rd Kaohsiung Taiwan 813 wan
Citazione:
N.H. Chou et al., "Risk factors of mortality in perforated peptic ulcer", EURO J SURG, 166(2), 2000, pp. 149-153

Abstract

Objective: To assess the risk factors that influence mortality from perforated peptic ulcer. Design: Retrospective study. Setting: General hospital, Taiwan. Subjects: 179 patients who had their perforated peptic ulcers operated on and who had minimum follow-up of one year. Main outcome measures: Mortality. Results: The overall mortality was 15% (26/179). Of the 26 patients who died, the cause of death was uncontrolled systemic infection in 21 (81%), hypovolaemic shock in 2, and fatal arrhythmia and heart failure in 1 each. 15 of the patients who died of sepsis did not have fulminant abdominal sepsis. Most deaths occurred early after operation, (range 1-96 days). Old age, preoperative shock, and type of operation seemed to be related to these deaths on univariate analysis, but multivariate analysis showed that coexisting medical illness, delayed treatment, and low albumin concentration were independent risk factors for mortality. Conclusions: To improve the result of treatment of perforated peptic ulcer, the diagnosis and treatment should not be delayed, the associated medicalillnesses should be treated, and nutritional support should be given.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 20:18:50