Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/70064
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dc.contributor.authorAcosta-Mérida, María Asunciónen_US
dc.contributor.authorMarchena-Gómez, Joaquínen_US
dc.contributor.authorSaavedra-Santana, Pedroen_US
dc.contributor.authorSilvestre-Rodríguez, Joséen_US
dc.contributor.authorArtiles-Armas, Manuelen_US
dc.contributor.authorCallejón-Cara, María Maren_US
dc.date.accessioned2020-02-05T12:52:11Z-
dc.date.available2020-02-05T12:52:11Z-
dc.date.issued2020en_US
dc.identifier.issn0364-2313en_US
dc.identifier.otherScopus-
dc.identifier.urihttp://hdl.handle.net/10553/70064-
dc.description.abstractBackground: Despite increases in knowledge and advances in the management of acute mesenteric ischemia syndrome (AMI), there have been no significant improvements in mortality in recent years. The objective of this study was to assess the changes in clinical characteristics and surgical outcomes in patients who underwent AMI over time. Methods: A total of 323 consecutive patients who underwent acute mesenteric ischemia at our institution between 1990 and 2015 were examined. The occurrence of significant changes over this 25-year period in demographic data, comorbidity, clinical characteristics, laboratory results, operative findings, etiology of the AMI, and operative mortality were evaluated. The evolution mortality rates for the studied period were analyzed using the additive logistic regression, and the significant effect was determined using the Akaike Information Criterion (AIC). Results: A significant increasing linear trend was observed in recent years in Charlson score values (p = 0.008), antiplatelet drug intake (p < 0.001), use of CT scan (p < 0.001), arterial thrombosis (p < 0.001), and intestinal resection (p = 0.047), while a decreasing linear trend was observed in digoxin intake (p < 0.001), angiography use (p = 0.004), and embolia (p < 0.001). The rest of the parameters did not present changes over time. Regarding the evolution of the adjusted surgical mortality, a significant decrease according the AIC criterion was observed. Conclusions: In recent years, the characteristics of patients with AMI requiring surgery have changed. Changes in operative mortality have also been detected, showing a tendency toward a progressive and significant decrease.en_US
dc.languageengen_US
dc.relation.ispartofWorld Journal of Surgeryen_US
dc.sourceWorld Journal of Surgery [ISSN 0364-2313], v. 44 (1), p. 100-107en_US
dc.subject240401 Bioestadísticaen_US
dc.subject32 Ciencias médicasen_US
dc.subject.otherMortality
dc.subject.otherMorbidity
dc.subject.otherSurvival
dc.subject.otherNecrosis
dc.titleSurgical outcomes in acute mesenteric ischemia: has anything changed over the years?en_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1007/s00268-019-05183-9
dc.identifier.scopus85073825452-
dc.identifier.isi000512279600015
dc.contributor.authorscopusid14031217200-
dc.contributor.authorscopusid55089291600-
dc.contributor.authorscopusid56756025600-
dc.contributor.authorscopusid37017519800-
dc.contributor.authorscopusid56667617500-
dc.contributor.authorscopusid57193992430-
dc.identifier.eissn1432-2323-
dc.description.lastpage107-
dc.identifier.issue1-
dc.description.firstpage100-
dc.relation.volume44-
dc.investigacionCienciasen_US
dc.type2Artículoen_US
dc.contributor.daisngidNo ID
dc.contributor.daisngidNo ID
dc.contributor.daisngid3094556
dc.contributor.daisngidNo ID
dc.contributor.daisngid31505263
dc.contributor.daisngidNo ID
dc.utils.revisionen_US
dc.contributor.wosstandardWOS:Acosta-M?rida, MA
dc.contributor.wosstandardWOS:Marchena-G?mez, J
dc.contributor.wosstandardWOS:Saavedra-Santana, P
dc.contributor.wosstandardWOS:Silvestre-Rodr?guez, J
dc.contributor.wosstandardWOS:Artiles-Armas, M
dc.contributor.wosstandardWOS:Callej?n-Cara, MM
dc.date.coverdateEnero 2020
dc.identifier.ulpgces
dc.description.sjr1,115
dc.description.jcr3,352
dc.description.sjrqQ1
dc.description.jcrqQ2
dc.description.scieSCIE
item.fulltextSin texto completo-
item.grantfulltextnone-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.deptGIR IUIBS: Patología médica-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.deptGIR Estadística-
crisitem.author.deptDepartamento de Matemáticas-
crisitem.author.orcid0000-0002-7362-1110-
crisitem.author.orcid0000-0003-1681-7165-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.parentorgDepartamento de Matemáticas-
crisitem.author.fullNameAcosta Mérida, María Asunción-
crisitem.author.fullNameMarchena Gómez, Joaquín-
crisitem.author.fullNameSaavedra Santana, Pedro-
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