Surgical risk model for acute diffuse peritonitis based on a Japanese nationwide database

an initial report on the surgical and 30-day mortality

Tohru Nakagoe, Hiroaki Miyata, Mitsukazu Gotoh, Takayuki Anazawa, Hideo Baba, Wataru Kimura, Naohiro Tomita, Mitsuo Shimada, Yuko Kitagawa, Kenichi Sugihara, Masaki Mori

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Purpose: Acute diffuse peritonitis (ADP) is an important surgical complication associated with high morbidity and mortality; however, the risk factors associated with a poor outcome have remained controversial. This study aimed in collecting integrated data using a web-based national database system to build a risk model for mortality after surgery for ADP. Methods: We included cases registered in the National Clinical Database in Japan. After data cleanup, 8,482 surgical cases of ADP from 1,285 hospitals treated between January 1 and December 31, 2011 were analyzed. Results: The raw 30-day and surgical mortality rates were 9.0 and 14.1 %, respectively. The odds ratios (>2.0) for 30-day mortality were as follows: American Society of Anesthesiologists (ASA) class 3, 2.69; ASA class 4, 4.28; ASA class 5, 8.65; previous percutaneous coronary intervention (PCI), 2.05; previous surgery for peripheral vascular disease (PVD), 2.45 and disseminated cancer, 2.16. The odds ratios (>2.0) for surgical mortality were as follows: ASA class 3, 2.27; ASA class 4, 4.67; ASA class 5, 6.54, and disseminated cancer, 2.09. The C-indices of 30-day and surgical mortality were 0.851 and 0.852, respectively. Conclusion: This is the first report of risk stratification after surgery for ADP using a nationwide surgical database. This system could be useful to predict the outcome of surgery for ADP and for evaluations and benchmark performance studies.

Original languageEnglish
Pages (from-to)1233-1243
Number of pages11
JournalSurgery today
Volume45
Issue number10
DOIs
Publication statusPublished - Oct 14 2015
Externally publishedYes

Fingerprint

Anatomic Models
Peritonitis
Databases
Mortality
Odds Ratio
Benchmarking
Peripheral Vascular Diseases
Percutaneous Coronary Intervention
Neoplasms
Japan
Anesthesiologists
Morbidity

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Surgical risk model for acute diffuse peritonitis based on a Japanese nationwide database : an initial report on the surgical and 30-day mortality. / Nakagoe, Tohru; Miyata, Hiroaki; Gotoh, Mitsukazu; Anazawa, Takayuki; Baba, Hideo; Kimura, Wataru; Tomita, Naohiro; Shimada, Mitsuo; Kitagawa, Yuko; Sugihara, Kenichi; Mori, Masaki.

In: Surgery today, Vol. 45, No. 10, 14.10.2015, p. 1233-1243.

Research output: Contribution to journalArticle

Nakagoe, T, Miyata, H, Gotoh, M, Anazawa, T, Baba, H, Kimura, W, Tomita, N, Shimada, M, Kitagawa, Y, Sugihara, K & Mori, M 2015, 'Surgical risk model for acute diffuse peritonitis based on a Japanese nationwide database: an initial report on the surgical and 30-day mortality', Surgery today, vol. 45, no. 10, pp. 1233-1243. https://doi.org/10.1007/s00595-014-1026-x
Nakagoe, Tohru ; Miyata, Hiroaki ; Gotoh, Mitsukazu ; Anazawa, Takayuki ; Baba, Hideo ; Kimura, Wataru ; Tomita, Naohiro ; Shimada, Mitsuo ; Kitagawa, Yuko ; Sugihara, Kenichi ; Mori, Masaki. / Surgical risk model for acute diffuse peritonitis based on a Japanese nationwide database : an initial report on the surgical and 30-day mortality. In: Surgery today. 2015 ; Vol. 45, No. 10. pp. 1233-1243.
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AU - Gotoh, Mitsukazu

AU - Anazawa, Takayuki

AU - Baba, Hideo

AU - Kimura, Wataru

AU - Tomita, Naohiro

AU - Shimada, Mitsuo

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AU - Sugihara, Kenichi

AU - Mori, Masaki

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N2 - Purpose: Acute diffuse peritonitis (ADP) is an important surgical complication associated with high morbidity and mortality; however, the risk factors associated with a poor outcome have remained controversial. This study aimed in collecting integrated data using a web-based national database system to build a risk model for mortality after surgery for ADP. Methods: We included cases registered in the National Clinical Database in Japan. After data cleanup, 8,482 surgical cases of ADP from 1,285 hospitals treated between January 1 and December 31, 2011 were analyzed. Results: The raw 30-day and surgical mortality rates were 9.0 and 14.1 %, respectively. The odds ratios (>2.0) for 30-day mortality were as follows: American Society of Anesthesiologists (ASA) class 3, 2.69; ASA class 4, 4.28; ASA class 5, 8.65; previous percutaneous coronary intervention (PCI), 2.05; previous surgery for peripheral vascular disease (PVD), 2.45 and disseminated cancer, 2.16. The odds ratios (>2.0) for surgical mortality were as follows: ASA class 3, 2.27; ASA class 4, 4.67; ASA class 5, 6.54, and disseminated cancer, 2.09. The C-indices of 30-day and surgical mortality were 0.851 and 0.852, respectively. Conclusion: This is the first report of risk stratification after surgery for ADP using a nationwide surgical database. This system could be useful to predict the outcome of surgery for ADP and for evaluations and benchmark performance studies.

AB - Purpose: Acute diffuse peritonitis (ADP) is an important surgical complication associated with high morbidity and mortality; however, the risk factors associated with a poor outcome have remained controversial. This study aimed in collecting integrated data using a web-based national database system to build a risk model for mortality after surgery for ADP. Methods: We included cases registered in the National Clinical Database in Japan. After data cleanup, 8,482 surgical cases of ADP from 1,285 hospitals treated between January 1 and December 31, 2011 were analyzed. Results: The raw 30-day and surgical mortality rates were 9.0 and 14.1 %, respectively. The odds ratios (>2.0) for 30-day mortality were as follows: American Society of Anesthesiologists (ASA) class 3, 2.69; ASA class 4, 4.28; ASA class 5, 8.65; previous percutaneous coronary intervention (PCI), 2.05; previous surgery for peripheral vascular disease (PVD), 2.45 and disseminated cancer, 2.16. The odds ratios (>2.0) for surgical mortality were as follows: ASA class 3, 2.27; ASA class 4, 4.67; ASA class 5, 6.54, and disseminated cancer, 2.09. The C-indices of 30-day and surgical mortality were 0.851 and 0.852, respectively. Conclusion: This is the first report of risk stratification after surgery for ADP using a nationwide surgical database. This system could be useful to predict the outcome of surgery for ADP and for evaluations and benchmark performance studies.

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