Acute mesenteric ischemia in the surgical intensive care unit: Analysis of clinical characteristics and risk factors for mortality

Basit Öğe Kaydı
dc.contributor.authorKızıloğlu, İlker
dc.contributor.authorDaylan, Ahmet
dc.contributor.authorŞener, Aslı
dc.contributor.authorAygün, Hakan
dc.contributor.authorBozok, Şahin
dc.date.accessioned2025-03-20T09:41:20Z
dc.date.available2025-03-20T09:41:20Z
dc.date.issued2023
dc.departmentİzmir Bakırçay Üniversitesi
dc.description.abstractObjectives: This study aimed to present the clinical characteristics of patients followed due to acute mesenteric ischemia (AMI) in the surgical intensive care unit and evaluate mortality-related prognostic factors. Patients and methods: This retrospective study reviewed clinical records of 28 patients (19 males, 9 females; mean age: 67.5±17 years; range, 29 to 86 years) who were followed due to AMI in the intensive care unit between May 2016 and April 2023. We analyzed the clinical characteristics, risk factors, and prognostic factors of the patients. The Acute Physiology and Chronic Health Evaluation II (APACHE II) score was calculated in each patient to assess its prognostic value in AMI patients. Results: Of the 28 patients, 19 had acute arterial occlusive mesenteric ischemia (AOMI), four patients had acute mesenteric venous thrombosis (MVT), and five patients had nonocclusive mesenteric ischemia (NOMI). Overall mortality was 60.7% (n=17). The mortality rate was 57.8% (n=11) in the AOMI group, 50.0% (n=2) in the MVT group, and 80.0% (n=4) in the NOMI group. Compared to survivors, the APACHE II score, shock incidence, arterial lactate concentration, specifically more prominent 24 h after diagnosis (p<0.001), acute renal failure, serum creatinine level, vasoactive agent consumption, and maximum vasopressor dose were significantly higher among nonsurvivors (p<0.05). Conclusion: The clinical outcomes remain poor in AMI, and even in-hospital mortality is rather high. The death following AMI was mostly related to multiorgan failure, renal failure, elevated lactate level, and colon involvement. It appears that monitoring arterial lactate is helpful in identifying patients with poor prognosis. Early diagnosis, timely treatment, correction of shock, and renal protection are important to improve clinical prognosis.
dc.identifier.doi10.5606/e-cvsi.2023.1562
dc.identifier.endpage160
dc.identifier.issn2148-9211
dc.identifier.issue3
dc.identifier.startpage154
dc.identifier.trdizinid1226675
dc.identifier.urihttps://doi.org/10.5606/e-cvsi.2023.1562
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1226675
dc.identifier.urihttps://hdl.handle.net/20.500.14034/1903
dc.identifier.volume10
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofCardiovascular surgery and interventions
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR_20250319
dc.subjectPrognostic factors
dc.subjectAcute mesenteric ischemia
dc.subjectarterial occlusive mesenteric ischemia
dc.subjectmesenteric venous thrombosis
dc.subjectnonocclusive mesenteric ischemia
dc.titleAcute mesenteric ischemia in the surgical intensive care unit: Analysis of clinical characteristics and risk factors for mortality
dc.typeArticle

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
Tam Metin / Full Text
Boyut:
167.35 KB
Biçim:
Adobe Portable Document Format
İndir

Koleksiyon

TR-Dizin İndeksli Yayınlar Koleksiyonu