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30-Day, 90-day and 1-year mortality after emergency colonic surgery

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Purpose

Emergency surgery is an independent risk factor in colonic surgery resulting in high 30-day mortality. The primary aim of this study was to report 30-day, 90-day and 1-year mortality rates after emergency colonic surgery, and to report factors associated with 30-day, 90-day and 1-year mortality. Second, the aim was to report 30-day postoperative complications and their relation to in-hospital mortality.

Methods

All patients undergoing acute colonic surgery in the period from May 2009 to April 2013 at Copenhagen University Hospital Herlev, Denmark, were identified. Perioperative data was collected from medical journals.

Results

30-day, 90-day and 1-year mortality was 21, 30 and 41%, respectively. Age >70 years, Performance status ≥3 and resection with stoma were independent factors associated with 30-day mortality. Age >70 years, Performance status ≥3, resection with stoma and malignant disease were independent risk factors associated with 90-day mortality. Age >70 years, Performance status ≥3, resection with stoma and malignant disease were independent factors associated with 1-year mortality. Overall, 30-day complication rate was 63%, with cardiopulmonary complications leading to most postoperative deaths.

Conclusion

Mortality and complication rates after emergency colonic surgery are high and associated with patient related risk factors that cannot be modified, but also treatment related outcomes that are modifiable. An increased focus on medical and other preventive measures should be explored in the future.

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Abbreviations

CI:

Confidence interval

TPN:

Total parenteral nutrition

ATN:

Acute tubular necrosis

COPD:

Chronic obstructive pulmonary disease

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Acknowledgements

The authors wish to thank Ole Roikjær, MD, Zealand University Hospital, for assistance with statistical analysis.

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Authors and Affiliations

  1. Department of Surgery, Copenhagen University Hospital Herlev, Herlev Ringvej 75, 2730, Herlev, Denmark

    T. Pedersen & M.-B. Tolstrup

  2. Department of Surgery, Center for Surgical Science, Zealand University Hospital, Copenhagen University, Copenhagen, Denmark

    S. K. Watt & I. Gögenur

Authors
  1. T. Pedersen
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  2. S. K. Watt
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  3. M.-B. Tolstrup
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  4. I. Gögenur
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Corresponding author

Correspondence to T. Pedersen.

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Conflict of interest

Torben Pedersen, Sara Kehlet Watt, Mai-Britt Tolstrup and Ismail Gögenur declare that they have no conflict of interest.

Funding

No funding from external organizations occurred.

Ethical approval

This research was approved by the Danish Data Protection Agency; HEH-2013-034 I-Suite No: 02336.

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Pedersen, T., Watt, S.K., Tolstrup, MB. et al. 30-Day, 90-day and 1-year mortality after emergency colonic surgery. Eur J Trauma Emerg Surg 43, 299–305 (2017). https://doi.org/10.1007/s00068-016-0742-x

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  • DOI: https://doi.org/10.1007/s00068-016-0742-x

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