Masoomi et al identified a number of factors predictive of in-hospital mortality following colorectal surgery. These can help to identify patients who may benefit from more aggressive management. The authors are from the University of California at Irvine.
Patient selection: adult undergoing colorectal surgery
Risk factors with an odds ratio from 2.4 to 3.5:
(1) emergency surgery
(2) liver disease
(3) age > 65 years
(4) total colectomy
(5) chronic renal failure
Risk factors with an odds ratio from 1.8 to 2.0):
(1) malignant tumor
(2) open operation (vs laparoscopic)
(3) peripheral vascular disease
(4) diverticulitis
The more risk factors that are present the greater the risk of in-hospital mortality.
Factors associated with reduced mortality (odds rato 0.44 to 0.59):
(1) smoking
(2) proctectomy
(3) Crohn’s disease
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