File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Population-based information on emergency colorectal surgery and evaluation on effect of operative volume on mortality

TitlePopulation-based information on emergency colorectal surgery and evaluation on effect of operative volume on mortality
Authors
Issue Date2008
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer.de/link/service/journals/00268/
Citation
World Journal Of Surgery, 2008, v. 32 n. 9, p. 2077-2082 How to Cite?
AbstractIntroduction: Population-based information on emergency surgery for colorectal conditions was limited. The present study was designed to review comprehensively the outcomes of emergency colectomy in Hong Kong population and evaluate the effect of case load on mortality after considering case mixes. Methods: All adult patients older than aged 18 years who underwent emergency colectomy in 2003 in all 15 Hong Kong public hospitals were included. Demographics and perioperative variables were reviewed and analyzed. Hospitals were classified into low, middle, or high operative volume groups according to their yearly caseloads, and their performance in terms of mortality were compared by using CR-POSSUM. Results: A total of 864 patients with a mean age of 67.8 years were included. Bowel obstruction and peritonitis were the two major clinical indications for the surgery. The crude in-hospital mortality rate was 18.9%; individual hospitals varied from 8.7% to 33.3%. With the risk adjusted model, all hospital groups performed within 95% confidence limits of prediction. There was no statistical difference for mortality of hospitals of different case volume. Conclusion: A crude in-hospital mortality of 18.9% after emergency colorectal surgery was observed in Hong Kong public hospitals. Higher hospital case load is not significantly associated with better outcomes in emergency colectomy. © 2008 Société Internationale de Chirurgie.
Persistent Identifierhttp://hdl.handle.net/10722/59945
ISSN
2015 Impact Factor: 2.523
2015 SCImago Journal Rankings: 1.375
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorKwan, TLen_HK
dc.contributor.authorLai, Fen_HK
dc.contributor.authorLam, CMen_HK
dc.contributor.authorYuen, WCen_HK
dc.contributor.authorWai, Aen_HK
dc.contributor.authorSiu, YCen_HK
dc.contributor.authorShung, Een_HK
dc.contributor.authorLaw, WLen_HK
dc.date.accessioned2010-05-31T04:00:39Z-
dc.date.available2010-05-31T04:00:39Z-
dc.date.issued2008en_HK
dc.identifier.citationWorld Journal Of Surgery, 2008, v. 32 n. 9, p. 2077-2082en_HK
dc.identifier.issn0364-2313en_HK
dc.identifier.urihttp://hdl.handle.net/10722/59945-
dc.description.abstractIntroduction: Population-based information on emergency surgery for colorectal conditions was limited. The present study was designed to review comprehensively the outcomes of emergency colectomy in Hong Kong population and evaluate the effect of case load on mortality after considering case mixes. Methods: All adult patients older than aged 18 years who underwent emergency colectomy in 2003 in all 15 Hong Kong public hospitals were included. Demographics and perioperative variables were reviewed and analyzed. Hospitals were classified into low, middle, or high operative volume groups according to their yearly caseloads, and their performance in terms of mortality were compared by using CR-POSSUM. Results: A total of 864 patients with a mean age of 67.8 years were included. Bowel obstruction and peritonitis were the two major clinical indications for the surgery. The crude in-hospital mortality rate was 18.9%; individual hospitals varied from 8.7% to 33.3%. With the risk adjusted model, all hospital groups performed within 95% confidence limits of prediction. There was no statistical difference for mortality of hospitals of different case volume. Conclusion: A crude in-hospital mortality of 18.9% after emergency colorectal surgery was observed in Hong Kong public hospitals. Higher hospital case load is not significantly associated with better outcomes in emergency colectomy. © 2008 Société Internationale de Chirurgie.en_HK
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer.de/link/service/journals/00268/en_HK
dc.relation.ispartofWorld Journal of Surgeryen_HK
dc.titlePopulation-based information on emergency colorectal surgery and evaluation on effect of operative volume on mortalityen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0364-2313&volume=32&issue=9&spage=2077&epage=2082&date=2008&atitle=Population-based+information+on+emergency+colorectal+surgery+and+evaluation+on+effect+of+operative+volume+on+mortalityen_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00268-008-9632-7en_HK
dc.identifier.pmid18560933-
dc.identifier.scopuseid_2-s2.0-49749148040en_HK
dc.identifier.hkuros162026en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-49749148040&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume32en_HK
dc.identifier.issue9en_HK
dc.identifier.spage2077en_HK
dc.identifier.epage2082en_HK
dc.identifier.isiWOS:000258577900025-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridKwan, TL=7102387964en_HK
dc.identifier.scopusauthoridLai, F=25825328800en_HK
dc.identifier.scopusauthoridLam, CM=7402989820en_HK
dc.identifier.scopusauthoridYuen, WC=7102761295en_HK
dc.identifier.scopusauthoridWai, A=26022225500en_HK
dc.identifier.scopusauthoridSiu, YC=22981829700en_HK
dc.identifier.scopusauthoridShung, E=22981819200en_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK
dc.identifier.citeulike3251617-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats