2015, Number 05
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MediSan 2015; 19 (05)
Mortality predictive factors in patients with mechanical bowel occlusion
Domínguez GEJ, Cisneros DCM, Piña PLR, Romero GLI
Language: Spanish
References: 18
Page: 587-592
PDF size: 57.13 Kb.
ABSTRACT
A cohort longitudinal, prospective study of 191 patients with mechanical bowel
occlusion surgically treated in the Surgery Service of "Saturnino Lora Torres" Provincial
Teaching Clinical Surgical Hospital in Santiago de Cuba was carried out from January,
2011 to December, 2013, to identify the mortality predictive factors. The sample was
divided into 2 cohorts: 165 alive patients and 26 dead patients; also, the data analysis
was based on the design of a multivariate model (multivariable logistical regression),
by means of which it was confirmed that the age over 60 years, the beginning of the
symptoms after 48 hours, the physical perianesthesic condition IV and V, the vascular
damage, the resecting procedures, the shock and the postoperative complications,
showed independent relation to death. Sensibility, 73.1 and specificity, 98.8% were
considered and the global predictive percentage was excellent (95.3).
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