7
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: not found
      • Article: not found

      CCR-CARESS score for predicting operative mortality in patients with colorectal cancer : Score for predicting operative mortality in colorectal cancer

      Read this article at

      ScienceOpenPublisherPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Related collections

          Most cited references21

          • Record: found
          • Abstract: found
          • Article: not found

          Implications of preoperative hypoalbuminemia in colorectal surgery.

          Serum albumin has traditionally been used as a quantitative measure of a patient's nutritional status because of its availability and low cost. While malnutrition has a clear definition within both the American and European Societies for Parenteral and Enteral Nutrition clinical guidelines, individual surgeons often determine nutritional status anecdotally. Preoperative albumin level has been shown to be the best predictor of mortality after colorectal cancer surgery. Specifically in colorectal surgical patients, hypoalbuminemia significantly increases the length of hospital stay, rates of surgical site infections, enterocutaneous fistula risk, and deep vein thrombosis formation. The delay of surgical procedures to allow for preoperative correction of albumin levels in hypoalbuminemic patients has been shown to improve the morbidity and mortality in patients with severe nutritional risk. The importance of preoperative albumin levels and the patient's chronic inflammatory state on the postoperative morbidity and mortality has led to the development of a variety of surgical scoring systems to predict outcomes efficiently. This review attempts to provide a systematic overview of albumin and its role and implications in colorectal surgery.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Nutritional status of preoperative colorectal cancer patients.

            The present study aimed to determine the extent of malnutrition in preoperative colorectal cancer patients. Malnutrition has been shown to affect post-operative outcome, so it would be beneficial to identify those who are malnourished or who are at risk of becoming so preoperatively. We examine whether weight loss is related to the length of stay or changes in fat free mass.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Impact of COPD on postoperative outcomes: results from a national database.

              Although COPD affects large sections of the population, its effects on postoperative outcomes have not been rigorously studied. The objectives of this study were to describe the prevalence of COPD in patients undergoing surgery and to analyze the associations between COPD and postoperative morbidity, mortality, and hospital length of stay. Patients with COPD who underwent surgery were identified from the National Surgical Quality Improvement Program database (2007-2008). Univariate and multivariate analyses were performed on this multicenter, prospective data set (N = 468,795). COPD was present in 22,576 patients (4.82%). These patients were more likely to be older, men, white, smokers, and taking corticosteroids and had a lower BMI (P < .0001 for each). Median length of stay was 4 days for patients with COPD vs 1 day in those without COPD (P < .0001). Thirty-day morbidity rates were 25.8% and 10.2% for patients with and without COPD, respectively (P < .0001). Thirty-day death rates were 6.7% and 1.4% for patients with and without COPD, respectively (P < .0001). After controlling for > 50 comorbidities through logistic regression modeling, COPD was independently associated with higher postoperative morbidity (OR, 1.35; 95% CI, 1.30-1.40; P < .0001) and mortality (OR, 1.29; 95% CI, 1.19-1.39; P < .0001). Multivariate analyses with each individual postoperative complication as the outcome of interest showed that COPD was associated with increased risk for postoperative pneumonia, respiratory failure, myocardial infarction, cardiac arrest, sepsis, return to the operating room, and renal insufficiency or failure (P < .05 for each). COPD is common among patients undergoing surgery and is associated with increased morbidity, mortality, and length of stay.
                Bookmark

                Author and article information

                Journal
                British Journal of Surgery
                Br J Surg
                Wiley
                00071323
                December 2018
                December 2018
                August 13 2018
                : 105
                : 13
                : 1853-1861
                Affiliations
                [1 ]Clinical Epidemiology and Cancer Screening; Parc Taulí University Hospital, Universitat Autònoma de Barcelona; Sabadell Spain
                [2 ]Service of General Surgery; Parc Taulí University Hospital, Universitat Autònoma de Barcelona; Sabadell Spain
                [3 ]General and Digestive Surgery Service; Parc de Salut Mar; Barcelona Spain
                [4 ]Universidad del País Vasco UPV/EHU; Leioa Spain
                [5 ]General and Digestive Surgery Service; Althaia - Xarxa Assistencial Universitaria; Manresa Spain
                [6 ]Fundació Parc Taulí; Sabadell Spain
                [7 ]Laboratory Service; Hospital Costa del Sol; Málaga Spain
                [8 ]Research Unit; Hospital Universitario Basurto; Bilbao Spain
                [9 ]Centro Nacional de Epidemiología; Instituto de Salud Carlos III; Madrid Spain
                [10 ]Research Unit; Hospital Galdakao-Usansolo; Galdakao Spain
                Article
                10.1002/bjs.10956
                30102425
                f3b08c60-dd7d-4e0f-be22-f11a2f537739
                © 2018

                http://doi.wiley.com/10.1002/tdm_license_1.1

                http://onlinelibrary.wiley.com/termsAndConditions#vor

                History

                Comments

                Comment on this article