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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)
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author
organization
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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
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
2010-02-02 11:34:51
date last changed
2018-05-29 10:06:23
@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 &lt; 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},
  volume       = {14},
  year         = {2010},
}