Epidemiology and Prognostic Factors in Acute Superior Mesenteric Artery Occlusion.
Författare
Summary, in English
BACKGROUND: Reports on trends in incidence and mortality of acute superior mesenteric artery (SMA) occlusion and evaluation of prognostic factors in recent years are lacking. METHODS: Patients with acute SMA occlusion were identified through the in-patient and autopsy registry between 1970 and 1982 (n = 270), 1987 to 1996 (n = 135), and 2000 and 2006 (n = 100) in Malmö, Sweden. RESULTS: The overall incidence rate decreased from 8.6 to 5.4/100,000 person years and the autopsy rate from 87% to 25% over time. A higher serum creatinine level was associated with a lower probability of undergoing multi-detector row computed tomography with intravenous contrast (MDCTiv) (p = 0.006). Not performing a MDCTiv (odds ratio 4.0; 95% confidence interval [1.0-16.0]) remained as independent prognostic factor for in-hospital mortality. General and vascular surgeons collaborated in 25 out of 61 patients that underwent an intervention, of which 21 (84%) (p < 0.001) survived. CONCLUSIONS: A close collaboration between radiologists and general and vascular surgeons seems to be most important to lower the mortality in patients with acute SMA occlusion.
Avdelning/ar
Publiceringsår
2010
Språk
Engelska
Sidor
628-635
Publikation/Tidskrift/Serie
Journal of Gastrointestinal Surgery
Volym
14
Länkar
Dokumenttyp
Artikel i tidskrift
Förlag
Springer
Ämne
- Gerontology, specializing in Medical and Health Sciences
- Clinical Medicine
- Radiology, Nuclear Medicine and Medical Imaging
Status
Published
Forskningsgrupp
- Geriatric Medicine
- Radiology Diagnostics, Malmö
ISBN/ISSN/Övrigt
- ISSN: 1873-4626