Jeyarajah et al identified risk factors associated with 30-day mortality in patients with diverticular disease of the colon. These can help to identify a patient who may benefit from more aggressive management. The authors are from Kings College Hospital, Imperial College, and Chelsea and Westminster Hospital in London.
Parameters:
(1) age
(2) race
(3) comorbidity using the Charlson comorbidity index
(4) type of admission
(5) management
|
Parameter |
Finding |
Odds Ratio |
|
age |
< 50 years |
1 |
|
|
50 to 59 years |
2.8 |
|
|
60 to 69 years |
6.4 |
|
|
70 to 79 years |
14.5 |
|
|
>= 80 years |
32.1 |
|
race |
Black |
1 |
|
|
Other |
2.7 |
|
|
White |
3.1 |
|
Charlson Index |
0 |
1 |
|
|
1 |
1.8 |
|
|
2 |
3.2 |
|
|
3 |
4.6 |
|
|
4 |
6 |
|
|
5 |
10 |
|
|
6 |
17 |
|
type of admission |
elective |
1 |
|
|
emergency |
5.2 |
|
management |
nonsurgical (conservative) |
1 |
|
|
surgical |
4.8 |
cumulative odds ratio =
= PRODUCT(points for all 5 parameters)
Interpretation:
• minimum cumulative odds ratio: 1
• maximum cumulative odds ratio: 42, 224
Specialty: Gastroenterology, Surgery, general
ICD-10: ,
