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Population-based study of risk factors for postoperative death after anterior resection of the rectum
Linköping University, Faculty of Health Sciences. Linköping University, Department of Biomedicine and Surgery, Division of surgery.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Biomedicine and Surgery, Division of surgery. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Biomedicine and Surgery, Division of surgery. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
2006 (English)In: British Journal of Surgery, ISSN 0007-1323, E-ISSN 1365-2168, Vol. 93, no 4, 498-503 p.Article in journal (Refereed) Published
Abstract [en]

Background: The aim of this population-based study was to analyse risk factors for death within 30 days after anterior resection of the rectum. Methods: Between 1987 and 1995 a total of 6833 patients underwent elective anterior resection of the rectum in Sweden. One hundred and forty of these patients died within 30 days or during the initial hospital stay. These patients were compared with a randomly chosen cohort of 423 patients who underwent the same operation during the same interval, and were alive after 30 days and discharged from hospital. The association between death and 12 putative risk factors was studied. Results: The mortality rate after elective anterior resection was 2.1 per cent (140 of 6833). The incidence of clinical anastomotic leakage was 42.1 per cent (59 of 140) among those who died and 10.9 per cent (46 of 423) in the cohort group. Multivariate regression analysis identified clinical leakage, increased age, male sex, Dukes' 'D' stage and intraoperative adverse events as independent risk factors for death within 30 days. Conclusion: Clinical anastomotic leakage was a major cause of postoperative death after anterior resection. Copyright © 2006 British Journal of Surgery Society Ltd.

Place, publisher, year, edition, pages
2006. Vol. 93, no 4, 498-503 p.
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-37624DOI: 10.1002/bjs.5282Local ID: 36785OAI: oai:DiVA.org:liu-37624DiVA: diva2:258473
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2017-12-13

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Matthiessen, PeterHallböök, OlofSjödahl, Rune

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Matthiessen, PeterHallböök, OlofSjödahl, Rune
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Faculty of Health SciencesDivision of surgeryDepartment of Surgery in Östergötland
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