Clinical features and outcomes of nonocclusive mesenteric ischemia after cardiac surgery: a retrospective cohort study
Nonocclusive mesenteric ischemia after cardiac surgery is a life-threatening complication requiring emergent intervention. However, because of its rarity, the clinical features and outcomes of nonocclusive mesenteric ischemia remain unknown. The present study aimed to clarify patients’ backgrounds,...
Gespeichert in:
| Veröffentlicht in: | Heart and vessels 2020-05, Vol.35 (5), p.630-636 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 636 |
|---|---|
| container_issue | 5 |
| container_start_page | 630 |
| container_title | Heart and vessels |
| container_volume | 35 |
| creator | Sakamoto, Takashi Fujiogi, Michimasa Matsui, Hiroki Fushimi, Kiyohide Yasunaga, Hideo |
| description | Nonocclusive mesenteric ischemia after cardiac surgery is a life-threatening complication requiring emergent intervention. However, because of its rarity, the clinical features and outcomes of nonocclusive mesenteric ischemia remain unknown. The present study aimed to clarify patients’ backgrounds, clinical features and mortality of nonocclusive mesenteric ischemia after cardiac surgery, using a Japanese national inpatient database. We identified patients undergoing cardiac or thoracic aortic surgery between July 2010 and March 2017, using the Japanese Diagnosis Procedure Combination database. We calculated the incidence proportion of nonocclusive mesenteric ischemia and examined treatment options (bowel resection and interventional radiology) and patients’ discharge status (in-hospital mortality and destination of discharge). We identified 221,900 eligible patients to find 568 (0.26%) patients with bowel ischemia in the same admission. Of these, 124 (0.06%) patients developed nonocclusive mesenteric ischemia, and in-hospital mortality after nonocclusive mesenteric ischemia was 77%. Treatment options for nonocclusive mesenteric ischemia included bowel resection alone (
n
= 34), interventional radiology (
n
= 15), or both (
n
= 15); 27, 10, and 8 patients died, respectively. Seven patients (5.6%) were discharged to home. Among 60 patients without bowel resection or interventional radiology, 50 patients died. In multivariable regression analysis, older age, preoperative hemodialysis, preoperative circulatory support, and hypothermic cardiopulmonary bypass were associated with NOMI. The present study showed that nonocclusive mesenteric ischemia after cardiac surgery was very rare. Mortality following nonocclusive mesenteric ischemia was very high even if patients underwent bowel resection or interventional radiology. |
| doi_str_mv | 10.1007/s00380-019-01531-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2311920789</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2311920789</sourcerecordid><originalsourceid>FETCH-LOGICAL-c399t-6b93238c33b042eb282e3b1246e8c0206cedbdaff9952af034ecc64ce23e46b3</originalsourceid><addsrcrecordid>eNp9kU9P3DAQxS3UChbaL9BDZakXLmnHduLEvaEVlEpIvXC3nMmkBCXx1n9A--0xXVqkHnqwLI9_783Yj7EPAj4LgPZLBFAdVCBMWY0S1eMR2wgtmko2rXrDNmAEVJ2S7Qk7jfEeCmWEOWYnSujWQGM27GE7T-uEbuYjuZQDRe7Wgfuc0C_l4Ee--tUjzjlOD8RLjdZEYUI-RbyjZXLcjaXA0YVhcshjDj8p7L9yxwOl4OOOMD1L0d_5kHhMedi_Y29HN0d6_7Kfsdury9vtdXXz49v37cVNhcqYVOneKKk6VKqHWlIvO0mqF7LW1CFI0EhDP7hxNKaRbgRVE6KukaSiWvfqjJ0fbHfB_8oUk13K1DTPbiWfo5VKCCOh7UxBP_2D3vsc1jJcoTptag2dKJQ8UFgeFgONdhemxYW9FWCfQ7GHUGwJxf4OxT4W0ccX69wvNPyV_EmhAOoAxHK1lt977f0f2yeMRJpP</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2386946081</pqid></control><display><type>article</type><title>Clinical features and outcomes of nonocclusive mesenteric ischemia after cardiac surgery: a retrospective cohort study</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Sakamoto, Takashi ; Fujiogi, Michimasa ; Matsui, Hiroki ; Fushimi, Kiyohide ; Yasunaga, Hideo</creator><creatorcontrib>Sakamoto, Takashi ; Fujiogi, Michimasa ; Matsui, Hiroki ; Fushimi, Kiyohide ; Yasunaga, Hideo</creatorcontrib><description>Nonocclusive mesenteric ischemia after cardiac surgery is a life-threatening complication requiring emergent intervention. However, because of its rarity, the clinical features and outcomes of nonocclusive mesenteric ischemia remain unknown. The present study aimed to clarify patients’ backgrounds, clinical features and mortality of nonocclusive mesenteric ischemia after cardiac surgery, using a Japanese national inpatient database. We identified patients undergoing cardiac or thoracic aortic surgery between July 2010 and March 2017, using the Japanese Diagnosis Procedure Combination database. We calculated the incidence proportion of nonocclusive mesenteric ischemia and examined treatment options (bowel resection and interventional radiology) and patients’ discharge status (in-hospital mortality and destination of discharge). We identified 221,900 eligible patients to find 568 (0.26%) patients with bowel ischemia in the same admission. Of these, 124 (0.06%) patients developed nonocclusive mesenteric ischemia, and in-hospital mortality after nonocclusive mesenteric ischemia was 77%. Treatment options for nonocclusive mesenteric ischemia included bowel resection alone (
n
= 34), interventional radiology (
n
= 15), or both (
n
= 15); 27, 10, and 8 patients died, respectively. Seven patients (5.6%) were discharged to home. Among 60 patients without bowel resection or interventional radiology, 50 patients died. In multivariable regression analysis, older age, preoperative hemodialysis, preoperative circulatory support, and hypothermic cardiopulmonary bypass were associated with NOMI. The present study showed that nonocclusive mesenteric ischemia after cardiac surgery was very rare. Mortality following nonocclusive mesenteric ischemia was very high even if patients underwent bowel resection or interventional radiology.</description><identifier>ISSN: 0910-8327</identifier><identifier>EISSN: 1615-2573</identifier><identifier>DOI: 10.1007/s00380-019-01531-w</identifier><identifier>PMID: 31679059</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Aged ; Aged, 80 and over ; Aorta ; Biomedical Engineering and Bioengineering ; Cardiac Surgery ; Cardiac Surgical Procedures - adverse effects ; Cardiac Surgical Procedures - mortality ; Cardiology ; Cohort analysis ; Databases, Factual ; Female ; Heart ; Heart surgery ; Hemodialysis ; Hospital Mortality ; Humans ; Intestine ; Ischemia ; Japan ; Male ; Medicine ; Medicine & Public Health ; Mesenteric Ischemia - diagnostic imaging ; Mesenteric Ischemia - etiology ; Mesenteric Ischemia - mortality ; Mesenteric Ischemia - surgery ; Middle Aged ; Mortality ; Original Article ; Patient Discharge ; Patients ; Radiology ; Regression analysis ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Surgeons ; Surgery ; Thorax ; Time Factors ; Treatment Outcome ; Vascular Surgery</subject><ispartof>Heart and vessels, 2020-05, Vol.35 (5), p.630-636</ispartof><rights>Springer Japan KK, part of Springer Nature 2019</rights><rights>Springer Japan KK, part of Springer Nature 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-6b93238c33b042eb282e3b1246e8c0206cedbdaff9952af034ecc64ce23e46b3</citedby><cites>FETCH-LOGICAL-c399t-6b93238c33b042eb282e3b1246e8c0206cedbdaff9952af034ecc64ce23e46b3</cites><orcidid>0000-0001-7483-9704</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00380-019-01531-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00380-019-01531-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31679059$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sakamoto, Takashi</creatorcontrib><creatorcontrib>Fujiogi, Michimasa</creatorcontrib><creatorcontrib>Matsui, Hiroki</creatorcontrib><creatorcontrib>Fushimi, Kiyohide</creatorcontrib><creatorcontrib>Yasunaga, Hideo</creatorcontrib><title>Clinical features and outcomes of nonocclusive mesenteric ischemia after cardiac surgery: a retrospective cohort study</title><title>Heart and vessels</title><addtitle>Heart Vessels</addtitle><addtitle>Heart Vessels</addtitle><description>Nonocclusive mesenteric ischemia after cardiac surgery is a life-threatening complication requiring emergent intervention. However, because of its rarity, the clinical features and outcomes of nonocclusive mesenteric ischemia remain unknown. The present study aimed to clarify patients’ backgrounds, clinical features and mortality of nonocclusive mesenteric ischemia after cardiac surgery, using a Japanese national inpatient database. We identified patients undergoing cardiac or thoracic aortic surgery between July 2010 and March 2017, using the Japanese Diagnosis Procedure Combination database. We calculated the incidence proportion of nonocclusive mesenteric ischemia and examined treatment options (bowel resection and interventional radiology) and patients’ discharge status (in-hospital mortality and destination of discharge). We identified 221,900 eligible patients to find 568 (0.26%) patients with bowel ischemia in the same admission. Of these, 124 (0.06%) patients developed nonocclusive mesenteric ischemia, and in-hospital mortality after nonocclusive mesenteric ischemia was 77%. Treatment options for nonocclusive mesenteric ischemia included bowel resection alone (
n
= 34), interventional radiology (
n
= 15), or both (
n
= 15); 27, 10, and 8 patients died, respectively. Seven patients (5.6%) were discharged to home. Among 60 patients without bowel resection or interventional radiology, 50 patients died. In multivariable regression analysis, older age, preoperative hemodialysis, preoperative circulatory support, and hypothermic cardiopulmonary bypass were associated with NOMI. The present study showed that nonocclusive mesenteric ischemia after cardiac surgery was very rare. Mortality following nonocclusive mesenteric ischemia was very high even if patients underwent bowel resection or interventional radiology.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aorta</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Cardiac Surgery</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Cardiac Surgical Procedures - mortality</subject><subject>Cardiology</subject><subject>Cohort analysis</subject><subject>Databases, Factual</subject><subject>Female</subject><subject>Heart</subject><subject>Heart surgery</subject><subject>Hemodialysis</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Intestine</subject><subject>Ischemia</subject><subject>Japan</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mesenteric Ischemia - diagnostic imaging</subject><subject>Mesenteric Ischemia - etiology</subject><subject>Mesenteric Ischemia - mortality</subject><subject>Mesenteric Ischemia - surgery</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Original Article</subject><subject>Patient Discharge</subject><subject>Patients</subject><subject>Radiology</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Thorax</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vascular Surgery</subject><issn>0910-8327</issn><issn>1615-2573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9P3DAQxS3UChbaL9BDZakXLmnHduLEvaEVlEpIvXC3nMmkBCXx1n9A--0xXVqkHnqwLI9_783Yj7EPAj4LgPZLBFAdVCBMWY0S1eMR2wgtmko2rXrDNmAEVJ2S7Qk7jfEeCmWEOWYnSujWQGM27GE7T-uEbuYjuZQDRe7Wgfuc0C_l4Ee--tUjzjlOD8RLjdZEYUI-RbyjZXLcjaXA0YVhcshjDj8p7L9yxwOl4OOOMD1L0d_5kHhMedi_Y29HN0d6_7Kfsdury9vtdXXz49v37cVNhcqYVOneKKk6VKqHWlIvO0mqF7LW1CFI0EhDP7hxNKaRbgRVE6KukaSiWvfqjJ0fbHfB_8oUk13K1DTPbiWfo5VKCCOh7UxBP_2D3vsc1jJcoTptag2dKJQ8UFgeFgONdhemxYW9FWCfQ7GHUGwJxf4OxT4W0ccX69wvNPyV_EmhAOoAxHK1lt977f0f2yeMRJpP</recordid><startdate>20200501</startdate><enddate>20200501</enddate><creator>Sakamoto, Takashi</creator><creator>Fujiogi, Michimasa</creator><creator>Matsui, Hiroki</creator><creator>Fushimi, Kiyohide</creator><creator>Yasunaga, Hideo</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7483-9704</orcidid></search><sort><creationdate>20200501</creationdate><title>Clinical features and outcomes of nonocclusive mesenteric ischemia after cardiac surgery: a retrospective cohort study</title><author>Sakamoto, Takashi ; Fujiogi, Michimasa ; Matsui, Hiroki ; Fushimi, Kiyohide ; Yasunaga, Hideo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-6b93238c33b042eb282e3b1246e8c0206cedbdaff9952af034ecc64ce23e46b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aorta</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Cardiac Surgery</topic><topic>Cardiac Surgical Procedures - adverse effects</topic><topic>Cardiac Surgical Procedures - mortality</topic><topic>Cardiology</topic><topic>Cohort analysis</topic><topic>Databases, Factual</topic><topic>Female</topic><topic>Heart</topic><topic>Heart surgery</topic><topic>Hemodialysis</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Intestine</topic><topic>Ischemia</topic><topic>Japan</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mesenteric Ischemia - diagnostic imaging</topic><topic>Mesenteric Ischemia - etiology</topic><topic>Mesenteric Ischemia - mortality</topic><topic>Mesenteric Ischemia - surgery</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Original Article</topic><topic>Patient Discharge</topic><topic>Patients</topic><topic>Radiology</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Thorax</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sakamoto, Takashi</creatorcontrib><creatorcontrib>Fujiogi, Michimasa</creatorcontrib><creatorcontrib>Matsui, Hiroki</creatorcontrib><creatorcontrib>Fushimi, Kiyohide</creatorcontrib><creatorcontrib>Yasunaga, Hideo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Heart and vessels</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sakamoto, Takashi</au><au>Fujiogi, Michimasa</au><au>Matsui, Hiroki</au><au>Fushimi, Kiyohide</au><au>Yasunaga, Hideo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical features and outcomes of nonocclusive mesenteric ischemia after cardiac surgery: a retrospective cohort study</atitle><jtitle>Heart and vessels</jtitle><stitle>Heart Vessels</stitle><addtitle>Heart Vessels</addtitle><date>2020-05-01</date><risdate>2020</risdate><volume>35</volume><issue>5</issue><spage>630</spage><epage>636</epage><pages>630-636</pages><issn>0910-8327</issn><eissn>1615-2573</eissn><abstract>Nonocclusive mesenteric ischemia after cardiac surgery is a life-threatening complication requiring emergent intervention. However, because of its rarity, the clinical features and outcomes of nonocclusive mesenteric ischemia remain unknown. The present study aimed to clarify patients’ backgrounds, clinical features and mortality of nonocclusive mesenteric ischemia after cardiac surgery, using a Japanese national inpatient database. We identified patients undergoing cardiac or thoracic aortic surgery between July 2010 and March 2017, using the Japanese Diagnosis Procedure Combination database. We calculated the incidence proportion of nonocclusive mesenteric ischemia and examined treatment options (bowel resection and interventional radiology) and patients’ discharge status (in-hospital mortality and destination of discharge). We identified 221,900 eligible patients to find 568 (0.26%) patients with bowel ischemia in the same admission. Of these, 124 (0.06%) patients developed nonocclusive mesenteric ischemia, and in-hospital mortality after nonocclusive mesenteric ischemia was 77%. Treatment options for nonocclusive mesenteric ischemia included bowel resection alone (
n
= 34), interventional radiology (
n
= 15), or both (
n
= 15); 27, 10, and 8 patients died, respectively. Seven patients (5.6%) were discharged to home. Among 60 patients without bowel resection or interventional radiology, 50 patients died. In multivariable regression analysis, older age, preoperative hemodialysis, preoperative circulatory support, and hypothermic cardiopulmonary bypass were associated with NOMI. The present study showed that nonocclusive mesenteric ischemia after cardiac surgery was very rare. Mortality following nonocclusive mesenteric ischemia was very high even if patients underwent bowel resection or interventional radiology.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>31679059</pmid><doi>10.1007/s00380-019-01531-w</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-7483-9704</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0910-8327 |
| ispartof | Heart and vessels, 2020-05, Vol.35 (5), p.630-636 |
| issn | 0910-8327 1615-2573 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2311920789 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Aged Aged, 80 and over Aorta Biomedical Engineering and Bioengineering Cardiac Surgery Cardiac Surgical Procedures - adverse effects Cardiac Surgical Procedures - mortality Cardiology Cohort analysis Databases, Factual Female Heart Heart surgery Hemodialysis Hospital Mortality Humans Intestine Ischemia Japan Male Medicine Medicine & Public Health Mesenteric Ischemia - diagnostic imaging Mesenteric Ischemia - etiology Mesenteric Ischemia - mortality Mesenteric Ischemia - surgery Middle Aged Mortality Original Article Patient Discharge Patients Radiology Regression analysis Retrospective Studies Risk Assessment Risk Factors Surgeons Surgery Thorax Time Factors Treatment Outcome Vascular Surgery |
| title | Clinical features and outcomes of nonocclusive mesenteric ischemia after cardiac surgery: a retrospective cohort study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-18T23%3A56%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Clinical%20features%20and%20outcomes%20of%20nonocclusive%20mesenteric%20ischemia%20after%20cardiac%20surgery:%20a%20retrospective%20cohort%20study&rft.jtitle=Heart%20and%20vessels&rft.au=Sakamoto,%20Takashi&rft.date=2020-05-01&rft.volume=35&rft.issue=5&rft.spage=630&rft.epage=636&rft.pages=630-636&rft.issn=0910-8327&rft.eissn=1615-2573&rft_id=info:doi/10.1007/s00380-019-01531-w&rft_dat=%3Cproquest_cross%3E2311920789%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2386946081&rft_id=info:pmid/31679059&rfr_iscdi=true |