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Sökning: WFRF:(Bass Gary Alan 1979 ) > Cardiac risk strati...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
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001oai:DiVA.org:oru-93335
003SwePub
008210801s2021 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:148805244
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-933352 URI
0247 a https://doi.org/10.1093/bjsopen/zrab0572 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1488052442 URI
040 a (SwePub)orud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Bass, Gary Alan,d 1979-u Örebro universitet,Institutionen för medicinska vetenskaper,Division of Traumatology, Surgical Critical Care and Emergency Surgery, University of Pennsylvania, Penn Presbyterian Medical Center, Philadelphia, Pennsylvania, USA4 aut0 (Swepub:oru)gbs
2451 0a Cardiac risk stratification in emergency resection for colonic tumours
264 c 2021-07-06
264 1b John Wiley & Sons,c 2021
338 a electronic2 rdacarrier
520 a BACKGROUND: Despite advances in perioperative care, the postoperative mortality rate after emergency oncological colonic resection remains high. Risk stratification may allow targeted perioperative optimization and cardiac risk stratification. This study aimed to test the hypothesis that the Revised Cardiac Risk Index (RCRI), a user-friendly tool, could identify patients who would benefit most from perioperative cardiac risk mitigation.METHODS: Patients who underwent emergency resection for colonic cancer from 2007 to 2017 and registered in the Swedish Colorectal Cancer Registry (SCRCR) were analysed retrospectively. These patients were cross-referenced by social security number to the Swedish National Board of Health and Welfare data set, a government registry of mortality, and co-morbidity data. RCRI scores were calculated for each patient and correlated with 90-day postoperative mortality risk, using Poisson regression with robust error of variance.RESULTS: Some 5703 patients met the study inclusion criteria. A linear increase in crude 90-day postoperative mortality was detected with increasing RCRI score (37.3 versus 11.3 per cent for RCRI 4 or more versus RCRI 1; P < 0.001). The adjusted 90-day all-cause mortality risk was also significantly increased (RCRI 4 or more versus RCRI 1: adjusted incidence rate ratio 2.07, 95 per cent c.i. 1.49 to 2.89; P < 0.001).CONCLUSION: This study documented an association between increasing cardiac risk and 90-day postoperative mortality. Those undergoing emergency colorectal surgery for cancer with a raised RCRI score should be considered high-risk patients who would most likely benefit from enhanced postoperative monitoring and critical care expertise.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
7001 a Forssten, Maximilian Peter,d 1996-u Örebro universitet,Institutionen för medicinska vetenskaper,Division of Trauma and Emergency Surgery, Department of Surgery, Örebro University Hospital, Örebro, Sweden4 aut0 (Swepub:oru)mmfn
7001 a Pourlotfi, Arvid,d 1995-u Örebro universitet,Institutionen för medicinska vetenskaper,Division of Trauma and Emergency Surgery, Department of Surgery, Örebro University Hospital, Örebro, Sweden4 aut0 (Swepub:oru)adpi
7001 a Ahl, Rebecka,d 1987-u Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden; 5 Division of Trauma and Emergency Surgery, Department of Surgery, Karolinska University Hospital, Stockholm, Sweden4 aut0 (Swepub:oru)raal
7001 a Cao, Yang,c Associate Professor,d 1972-u Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Clinical Epidemiology and Biostatistics4 aut0 (Swepub:oru)yco
7001 a Matthiessen, Peter,d 1957-u Örebro universitet,Institutionen för medicinska vetenskaper,Division of Trauma and Emergency Surgery, Department of Surgery, Orebro University Hospital, Örebro, Sweden4 aut0 (Swepub:oru)pemn
7001 a Mohseni, Shahin,d 1978-u Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Division of Trauma and Emergency Surgery, Department of Surgery, Örebro University Hospital, Örebro, Sweden4 aut0 (Swepub:oru)snmi
7102 a Örebro universitetb Institutionen för medicinska vetenskaper4 org
7730 t BJS Opend : John Wiley & Sonsg 5:4q 5:4x 2474-9842
8564 u https://doi.org/10.1093/bjsopen/zrab057y Fulltext
8564 u https://oru.diva-portal.org/smash/get/diva2:1582417/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://doi.org/10.1093/bjsopen/zrab057
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-93335
8564 8u https://doi.org/10.1093/bjsopen/zrab057
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:148805244

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