科研成果详情

题名Outcomes after open and endovascular treatment for mesenteric artery embolism patients: a retrospective inverse probability of treatment-weighted analysis
作者
发表日期2024-08-27
发表期刊European journal of trauma and emergency surgery : official publication of the European Trauma Society   影响因子和分区
语种英语
原始文献类型Journal Article
关键词30-day mortality Endovascular therapy Mesenteric artery embolism Open surgery Risk factor
摘要This study aims to evaluate outcomes in patients with mesenteric artery embolism (MAE) who received primary endovascular therapy (EVT) or laparotomy, and investigate risk factors for 30-day mortality., A retrospective analysis of 94 MAE patients who underwent two different treatment strategies was undertaken. An inverse probability of treatment weighting (IPTW) method was used to balance the confounding effects of baseline clinical data. Logistic regression analysis was performed to compare the outcomes according to type of treatment regimens before and after IPTW. Univariate and multivariable analysis were conducted to determine the risk factors for 30-day mortality., Twenty-eight MAE patients received primary EVT, and 66 Open Surgery (OS). Logistic regression analysis showed that there was no significant difference between the EVT and OS group in 30-day mortality rate before (odds ratio [OR] 0.477, 95% confidence interval [CI] 0.170 to 1.340, P = 0.160), and after IPTW (OR 0.647, 95% CI 0.210 to 1.993, P = 0.449). After IPTW, it revealed that the rates of second-look surgery (OR 36.727, 95% CI 5.407 to 249.458, P < 0.001) and hospital stay [> 30 days] (OR 0.006, 95% CI 0.000 to 0.363, P = 0.014) were different in the two groups. D-dimer (> 4 mg/L) and procalcitonin (> 0.5 ng/mL) were the independent risk factors for 30-day mortality in MAE patients postoperatively (P < 0.05)., In this retrospective study, MAE patients who performed primary EVT had no obvious difference in 30-day mortality rate compared to those who received OS; but it was conducive to reducing prolonged hospital stays. An increase in procalcitonin level and higher D-dimer were associated with short-term poor prognosis in patients with MAE.
资助项目Wenzhou Municipal Science and Technology Bureau
出版者SPRINGER HEIDELBERG
ISSN1863-9933
EISSN1863-9941
DOI10.1007/s00068-024-02647-z
页数11
WOS类目Emergency Medicine
WOS研究方向Emergency Medicine
WOS记录号WOS:001299791500001
收录类别PUBMED ; SCIE
URL查看原文
PubMed ID39190060
通讯作者地址[Chen, Fan-feng]Wenzhou Med Univ, Dept Vasc Surg, Affiliated Hosp 1, Wenzhou 325015, Zhejiang, Peoples R China. ; [Chen, Bi-cheng]Wenzhou Med Univ, Affiliated Hosp 1, Key Lab Diag & Treatment Severe Hepatopancreat Dis, Wenzhou 325015, Peoples R China.
引用统计
文献类型期刊论文
条目标识符https://kms.wmu.edu.cn/handle/3ETUA0LF/217665
专题附属第一医院
第一临床医学院(信息与工程学院)、附属第一医院
药学院(分析测试中心)_分子药理研究与教学中心
作者单位
1.Department of Vascular Surgery, The First Affiliated Hospital of Wenzhou Medical University, Ouhai District, Nanbaixiang, Wenzhou, 325015, Zhejiang, P.R. China.;
2.Molecular Pharmacology Research Center, School of Pharmaceutical Science, Wenzhou Medical University, Wenzhou, 325000, China.;
3.The Second Clinical Medical College, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, 310005, China.;
4.Department of Radiology, Longgang People's Hospital, Wenzhou, 325802, China.;
5.Department of Radiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015, China.;
6.Key Laboratory of Diagnosis and Treatment of Severe Hepato-Pancreatic Diseases of Zhejiang Province, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015, China. bisonch@163.com.;
7.Department of Vascular Surgery, The First Affiliated Hospital of Wenzhou Medical University, Ouhai District, Nanbaixiang, Wenzhou, 325015, Zhejiang, P.R. China. cffkwk@126.com.
第一作者单位附属第一医院;  第一临床医学院(信息与工程学院)、附属第一医院
通讯作者单位附属第一医院;  血管外科
第一作者的第一单位附属第一医院
推荐引用方式
GB/T 7714
Yi-Hui Qiu,Yin-He Zhang,Zi-Chang Wu,et al. Outcomes after open and endovascular treatment for mesenteric artery embolism patients: a retrospective inverse probability of treatment-weighted analysis[J]. European journal of trauma and emergency surgery : official publication of the European Trauma Society,2024.
APA Yi-Hui Qiu., Yin-He Zhang., Zi-Chang Wu., Zhe Yang., Guan-Xia Zhu., ... & Fan-Feng Chen. (2024). Outcomes after open and endovascular treatment for mesenteric artery embolism patients: a retrospective inverse probability of treatment-weighted analysis. European journal of trauma and emergency surgery : official publication of the European Trauma Society.
MLA Yi-Hui Qiu,et al."Outcomes after open and endovascular treatment for mesenteric artery embolism patients: a retrospective inverse probability of treatment-weighted analysis".European journal of trauma and emergency surgery : official publication of the European Trauma Society (2024).

条目包含的文件

条目无相关文件。
个性服务
查看访问统计
谷歌学术
谷歌学术中相似的文章
[Yi-Hui Qiu]的文章
[Yin-He Zhang]的文章
[Zi-Chang Wu]的文章
百度学术
百度学术中相似的文章
[Yi-Hui Qiu]的文章
[Yin-He Zhang]的文章
[Zi-Chang Wu]的文章
必应学术
必应学术中相似的文章
[Yi-Hui Qiu]的文章
[Yin-He Zhang]的文章
[Zi-Chang Wu]的文章
相关权益政策
暂无数据
收藏/分享
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。