Epidemiology and Prognostic Factors in Acute Superior Mesenteric Artery Occlusion.
Acosta, Stefan LU
; Wadman, Maria
LU
; Syk, Ingvar
LU
; Elmståhl, Sölve
LU
and Ekberg, Olle
LU
(2010)
In Journal of Gastrointestinal Surgery
14.
p.628-635
- Abstract
- BACKGROUND: Reports on trends in incidence and mortality of acute superior mesenteric artery (SMA) occlusion and evaluation of prognostic factors in recent years are lacking. METHODS: Patients with acute SMA occlusion were identified through the in-patient and autopsy registry between 1970 and 1982 (n = 270), 1987 to 1996 (n = 135), and 2000 and 2006 (n = 100) in Malmö, Sweden. RESULTS: The overall incidence rate decreased from 8.6 to 5.4/100,000 person years and the autopsy rate from 87% to 25% over time. A higher serum creatinine level was associated with a lower probability of undergoing multi-detector row computed tomography with intravenous contrast (MDCTiv) (p = 0.006). Not performing a MDCTiv (odds ratio 4.0; 95% confidence interval... (More)
- BACKGROUND: Reports on trends in incidence and mortality of acute superior mesenteric artery (SMA) occlusion and evaluation of prognostic factors in recent years are lacking. METHODS: Patients with acute SMA occlusion were identified through the in-patient and autopsy registry between 1970 and 1982 (n = 270), 1987 to 1996 (n = 135), and 2000 and 2006 (n = 100) in Malmö, Sweden. RESULTS: The overall incidence rate decreased from 8.6 to 5.4/100,000 person years and the autopsy rate from 87% to 25% over time. A higher serum creatinine level was associated with a lower probability of undergoing multi-detector row computed tomography with intravenous contrast (MDCTiv) (p = 0.006). Not performing a MDCTiv (odds ratio 4.0; 95% confidence interval [1.0-16.0]) remained as independent prognostic factor for in-hospital mortality. General and vascular surgeons collaborated in 25 out of 61 patients that underwent an intervention, of which 21 (84%) (p < 0.001) survived. CONCLUSIONS: A close collaboration between radiologists and general and vascular surgeons seems to be most important to lower the mortality in patients with acute SMA occlusion. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1541393
- author
- Acosta, Stefan
LU
; Wadman, Maria
LU
; Syk, Ingvar
LU
; Elmståhl, Sölve
LU
and Ekberg, Olle
LU
- organization
- publishing date
- 2010
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Gastrointestinal Surgery
- volume
- 14
- pages
- 628 - 635
- publisher
- Springer
- external identifiers
-
- wos:000276721700007
- pmid:20049551
- scopus:77950516379
- ISSN
- 1873-4626
- DOI
- 10.1007/s11605-009-1130-1
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Emergency medicine/Medicine/Surgery (013240200), Medical Radiology Unit (013241410), Division of Geriatric Medicine (013040040)
- id
- dfef3e56-a6cf-4be1-b7b6-f746fd68e32c (old id 1541393)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/20049551?dopt=Abstract
- date added to LUP
- 2016-04-04 08:55:13
- date last changed
- 2022-01-29 07:39:41
@article{dfef3e56-a6cf-4be1-b7b6-f746fd68e32c,
abstract = {{BACKGROUND: Reports on trends in incidence and mortality of acute superior mesenteric artery (SMA) occlusion and evaluation of prognostic factors in recent years are lacking. METHODS: Patients with acute SMA occlusion were identified through the in-patient and autopsy registry between 1970 and 1982 (n = 270), 1987 to 1996 (n = 135), and 2000 and 2006 (n = 100) in Malmö, Sweden. RESULTS: The overall incidence rate decreased from 8.6 to 5.4/100,000 person years and the autopsy rate from 87% to 25% over time. A higher serum creatinine level was associated with a lower probability of undergoing multi-detector row computed tomography with intravenous contrast (MDCTiv) (p = 0.006). Not performing a MDCTiv (odds ratio 4.0; 95% confidence interval [1.0-16.0]) remained as independent prognostic factor for in-hospital mortality. General and vascular surgeons collaborated in 25 out of 61 patients that underwent an intervention, of which 21 (84%) (p < 0.001) survived. CONCLUSIONS: A close collaboration between radiologists and general and vascular surgeons seems to be most important to lower the mortality in patients with acute SMA occlusion.}},
author = {{Acosta, Stefan and Wadman, Maria and Syk, Ingvar and Elmståhl, Sölve and Ekberg, Olle}},
issn = {{1873-4626}},
language = {{eng}},
pages = {{628--635}},
publisher = {{Springer}},
series = {{Journal of Gastrointestinal Surgery}},
title = {{Epidemiology and Prognostic Factors in Acute Superior Mesenteric Artery Occlusion.}},
url = {{http://dx.doi.org/10.1007/s11605-009-1130-1}},
doi = {{10.1007/s11605-009-1130-1}},
volume = {{14}},
year = {{2010}},
}