Outcomes after open and endovascular treatment for mesenteric artery embolism patients: a retrospective inverse probability of treatment-weighted analysis

doi:10.1007/s00068-024-02647-z

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	Yi-Hui Qiu1; Yin-He Zhang2; Zi-Chang Wu2; Zhe Yang 3; Guan-Xia Zhu 4; Shou-Liang Miao5; Bi-Cheng Chen6; Fan-Feng Chen 7
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
ISSN	1863-9933
EISSN	1863-9941
DOI	10.1007/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 ID	39190060
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).