FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3206453343> ?p ?o ?g. }

• W3206453343 endingPage "1333.e3" @default.
• W3206453343 startingPage "1323" @default.
• W3206453343 abstract "Acute mesenteric ischemia (AMI) is a surgical emergency for which delays in treatment have been closely associated with high morbidity and mortality. Although the duration of ischemia as a determinant of outcomes for AMI is well known, the objective of this study was to identify hospital-based determinants of delayed revascularization and their effects on postoperative morbidity and mortality in AMI.All patients who underwent any surgery for AMI from a multi-center hospital system between 2010 and 2020 were divided into two groups based on timeliness of mesenteric revascularization after presentation. Early revascularization (ER) was defined as having both vascular consultation ≤12 hours of presentation and vascular surgery performed at the patient's initial operation. Delayed revascularization (DR) was defined as having either delays to vascular consultation or vascular surgery. A retrospective review of demographic and postoperative data was performed. The effect of DR on major postoperative outcomes, including 30-day and 2-year mortality, total length of bowel resection, and development of short bowel syndrome, were analyzed. Effects of delayed vascular consultation alone, delayed vascular surgery alone, no revascularization during admission, and admitting service on outcomes were also examined on subgroup analyses.A total of 212 patients were analyzed. Ninety-nine patients received ER, whereas the remaining 113 patients experienced a DR after hospital presentation. Among the DR group, 55 patients (25.9%) had delayed vascular consultation, whereas vascular surgery was deferred until after the initial operation in 37 patients (17.4%). Fifty-one patients (24.0%) were never revascularized during admission. DR was a significant predictor of 30-day (odds ratio [OR], 2.09; 95% confidence interval [CI], 1.4-4.9; P = .03) and 2-year mortality (hazard ratio, 1.55, 95% CI, 1.0-2.3; P = .04). DR was also independently associated with increased bowel resection length (OR, 7.47; P < .01) and postoperative short bowel syndrome (OR, 2.4; P = .03) on multivariate analyses. When examined separately on subgroup analysis, both delayed vascular consultation (OR, 3.38; P = .03) and vascular surgery (OR, 4.31; P < .01) independently increased risk of 30-day mortality. Hospital discharge after AMI without mesenteric revascularization was associated with increased risk of short bowel syndrome (OR, 2.94; P < .01) and late mortality (hazard ratio, 1.60; P = .04).Delayed vascular consultation and vascular surgery are both significant hospital-based determinants of postoperative mortality and short bowel syndrome in patients with AMI. Timing-based management protocols that emphasize routine evaluation by a vascular surgeon and early, definitive mesenteric revascularization should be established and widely adopted for all patients with clinically suspected AMI at presentation." @default.
• W3206453343 created "2021-10-25" @default.
• W3206453343 creator A5005475364 @default.
• W3206453343 creator A5005897892 @default.
• W3206453343 creator A5006684960 @default.
• W3206453343 creator A5015385706 @default.
• W3206453343 creator A5048388779 @default.
• W3206453343 creator A5072920508 @default.
• W3206453343 date "2022-04-01" @default.
• W3206453343 modified "2023-10-15" @default.
• W3206453343 title "Hospital-based delays to revascularization increase risk of postoperative mortality and short bowel syndrome in acute mesenteric ischemia" @default.
• W3206453343 cites W1979669455 @default.
• W3206453343 cites W1981011303 @default.
• W3206453343 cites W1993964677 @default.
• W3206453343 cites W2059643035 @default.
• W3206453343 cites W2083435195 @default.
• W3206453343 cites W2101371911 @default.
• W3206453343 cites W2112561152 @default.
• W3206453343 cites W2116473771 @default.
• W3206453343 cites W2124011386 @default.
• W3206453343 cites W2148464081 @default.
• W3206453343 cites W2161142575 @default.
• W3206453343 cites W2167020577 @default.
• W3206453343 cites W2292482254 @default.
• W3206453343 cites W2417035381 @default.
• W3206453343 cites W2460959009 @default.
• W3206453343 cites W2470908876 @default.
• W3206453343 cites W2556081186 @default.
• W3206453343 cites W2777634371 @default.
• W3206453343 cites W2790538374 @default.
• W3206453343 cites W2898481306 @default.
• W3206453343 cites W2963833027 @default.
• W3206453343 cites W3002279480 @default.
• W3206453343 cites W3010389049 @default.
• W3206453343 cites W3080285033 @default.
• W3206453343 cites W3120345087 @default.
• W3206453343 cites W4250801132 @default.
• W3206453343 doi "https://doi.org/10.1016/j.jvs.2021.09.033" @default.
• W3206453343 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34634418" @default.
• W3206453343 hasPublicationYear "2022" @default.
• W3206453343 type Work @default.
• W3206453343 sameAs 3206453343 @default.
• W3206453343 citedByCount "7" @default.
• W3206453343 countsByYear W32064533432022 @default.
• W3206453343 countsByYear W32064533432023 @default.
• W3206453343 crossrefType "journal-article" @default.
• W3206453343 hasAuthorship W3206453343A5005475364 @default.
• W3206453343 hasAuthorship W3206453343A5005897892 @default.
• W3206453343 hasAuthorship W3206453343A5006684960 @default.
• W3206453343 hasAuthorship W3206453343A5015385706 @default.
• W3206453343 hasAuthorship W3206453343A5048388779 @default.
• W3206453343 hasAuthorship W3206453343A5072920508 @default.
• W3206453343 hasBestOaLocation W32064533432 @default.
• W3206453343 hasConcept C126322002 @default.
• W3206453343 hasConcept C141071460 @default.
• W3206453343 hasConcept C167135981 @default.
• W3206453343 hasConcept C2776696333 @default.
• W3206453343 hasConcept C2777010666 @default.
• W3206453343 hasConcept C2777601897 @default.
• W3206453343 hasConcept C2777785015 @default.
• W3206453343 hasConcept C2778789114 @default.
• W3206453343 hasConcept C2779464278 @default.
• W3206453343 hasConcept C500558357 @default.
• W3206453343 hasConcept C541997718 @default.
• W3206453343 hasConcept C71924100 @default.
• W3206453343 hasConceptScore W3206453343C126322002 @default.
• W3206453343 hasConceptScore W3206453343C141071460 @default.
• W3206453343 hasConceptScore W3206453343C167135981 @default.
• W3206453343 hasConceptScore W3206453343C2776696333 @default.
• W3206453343 hasConceptScore W3206453343C2777010666 @default.
• W3206453343 hasConceptScore W3206453343C2777601897 @default.
• W3206453343 hasConceptScore W3206453343C2777785015 @default.
• W3206453343 hasConceptScore W3206453343C2778789114 @default.
• W3206453343 hasConceptScore W3206453343C2779464278 @default.
• W3206453343 hasConceptScore W3206453343C500558357 @default.
• W3206453343 hasConceptScore W3206453343C541997718 @default.
• W3206453343 hasConceptScore W3206453343C71924100 @default.
• W3206453343 hasFunder F4320306133 @default.
• W3206453343 hasFunder F4320310174 @default.
• W3206453343 hasFunder F4320332161 @default.
• W3206453343 hasIssue "4" @default.
• W3206453343 hasLocation W32064533431 @default.
• W3206453343 hasLocation W32064533432 @default.
• W3206453343 hasLocation W32064533433 @default.
• W3206453343 hasOpenAccess W3206453343 @default.
• W3206453343 hasPrimaryLocation W32064533431 @default.
• W3206453343 hasRelatedWork W1977293577 @default.
• W3206453343 hasRelatedWork W2063355014 @default.
• W3206453343 hasRelatedWork W2078867428 @default.
• W3206453343 hasRelatedWork W2100503437 @default.
• W3206453343 hasRelatedWork W2279233054 @default.
• W3206453343 hasRelatedWork W3028032844 @default.
• W3206453343 hasRelatedWork W3119116412 @default.
• W3206453343 hasRelatedWork W3206453343 @default.
• W3206453343 hasRelatedWork W4205919805 @default.
• W3206453343 hasRelatedWork W2163358481 @default.
• W3206453343 hasVolume "75" @default.
• W3206453343 isParatext "false" @default.

• next