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Unique risks for mortality in patients with end-stage renal disease undergoing nonemergent colorectal surgery
Journal article   Peer reviewed

Unique risks for mortality in patients with end-stage renal disease undergoing nonemergent colorectal surgery

James J. Liu, Adrian Y. Kohut, David E. Stein, Richard Sensenig and Juan L. Poggio
The American journal of surgery, v 208(1), pp 41-44
01 Jul 2014
DOI: https://doi.org/10.1016/j.amjsurg.2013.08.034
PMID: 24300671
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Life Sciences & Biomedicine Science & Technology Surgery
BACKGROUND: The aim of this study was to identify unique risk factors for mortality in patients with end-stage renal disease undergoing nonemergent colorectal surgery. METHODS: A multivariate logistic regression model predicting 30-day mortality was constructed for patients with end-stage renal disease undergoing nonemergent colorectal procedures. Data were obtained from the National Surgical Quality Improvement Program (2005-2010). RESULTS: Among the 394 patients analyzed, those with serum creatinine levels >7.5 mg/dL had.07 times the adjusted mortality risk of those with levels <3.5 mg/dL. For colorectal surgery patients, the average serum creatinine level was 5.52 +/- 2.6 mg/dL, and mortality was 13% (n = 50). CONCLUSIONS: High serum creatinine was associated with a lower risk for mortality in patients with end-stage renal disease, even though creatinine is often considered a risk factor for surgery. These results show how variables from a patient-centered subpopulation can differ in meaning from the general population. (C) 2014 Elsevier Inc. All rights reserved.

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