Hartmann’s Reversal Outcomes: a VASQIP Study
Hartmann’s reversal (HR) is perceived as a challenging procedure with reported mortality of 6–8% and morbidity up to 40%.1 Based on this unfavorable outcome, more than 50% of patients who underwent a Hartmann’s operation are being denied a colostomy reversal procedure.1 However, studies have shown t...
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Veröffentlicht in: | Journal of gastrointestinal surgery 2021-02, Vol.25 (2), p.539-541 |
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creator | Shahait, Awni Qadeer, Afreen Fatma Hasnain, Mustafa Rashad Baldawi, Mohanad Gruber, Scott A. Weaver, Donald Mostafa, Gamal |
description | Hartmann’s reversal (HR) is perceived as a challenging procedure with reported mortality of 6–8% and morbidity up to 40%.1 Based on this unfavorable outcome, more than 50% of patients who underwent a Hartmann’s operation are being denied a colostomy reversal procedure.1 However, studies have shown that HR can still be safely performed even in patients with significant operative risk factors, such as increased age and preoperative comorbidities.2 Due to paucity of data regarding HR in veterans, this study aims to examine the preoperative characteristics and outcomes of HR in veterans and find the independent predictors of morbidity and mortality. |
doi_str_mv | 10.1007/s11605-020-04807-z |
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etiology ; Postoperative Complications - surgery ; Postoperative period ; Regression analysis ; Research Communication ; Retrospective Studies ; Risk factors ; Steroids ; Surgeons ; Surgery ; Veterans</subject><ispartof>Journal of gastrointestinal surgery, 2021-02, Vol.25 (2), p.539-541</ispartof><rights>The Society for Surgery of the Alimentary Tract 2020</rights><rights>The Society for Surgery of the Alimentary Tract 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-a82a1a263f8f13641c4f2cab33cc07998523026d2c2ed9cbe937893e4cd570603</citedby><cites>FETCH-LOGICAL-c375t-a82a1a263f8f13641c4f2cab33cc07998523026d2c2ed9cbe937893e4cd570603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11605-020-04807-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11605-020-04807-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32968932$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shahait, Awni</creatorcontrib><creatorcontrib>Qadeer, Afreen Fatma</creatorcontrib><creatorcontrib>Hasnain, Mustafa Rashad</creatorcontrib><creatorcontrib>Baldawi, Mohanad</creatorcontrib><creatorcontrib>Gruber, Scott A.</creatorcontrib><creatorcontrib>Weaver, Donald</creatorcontrib><creatorcontrib>Mostafa, Gamal</creatorcontrib><title>Hartmann’s Reversal Outcomes: a VASQIP Study</title><title>Journal of gastrointestinal surgery</title><addtitle>J Gastrointest Surg</addtitle><addtitle>J Gastrointest Surg</addtitle><description>Hartmann’s reversal (HR) is perceived as a challenging procedure with reported mortality of 6–8% and morbidity up to 40%.1 Based on this unfavorable outcome, more than 50% of patients who underwent a Hartmann’s operation are being denied a colostomy reversal procedure.1 However, studies have shown that HR can still be safely performed even in patients with significant operative risk factors, such as increased age and preoperative comorbidities.2 Due to paucity of data regarding HR in veterans, this study aims to examine the preoperative characteristics and outcomes of HR in veterans and find the independent predictors of morbidity and mortality.</description><subject>Alcohol</subject><subject>Anastomosis, Surgical</subject><subject>Chemotherapy</subject><subject>Colectomy</subject><subject>Colostomy</subject><subject>Diabetes</subject><subject>Frailty</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Patients</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - surgery</subject><subject>Postoperative period</subject><subject>Regression analysis</subject><subject>Research Communication</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Steroids</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Veterans</subject><issn>1091-255X</issn><issn>1873-4626</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kMFKAzEQhoMotlZfwIMsePGydZJsshtvpagtFKpWxVtIs1lp6e7WZFdoT76Gr-eTmLpVwYOnGZhv_hk-hI4xdDFAfO4w5sBCIBBClEAcrndQGycxDSNO-K7vQeCQMPbUQgfOzQFwDDjZRy1KBE8EJW3UHShb5aooPt7eXXBnXo11ahGM60qXuXEXgQoee5Pb4U0wqep0dYj2MrVw5mhbO-jh6vK-PwhH4-thvzcKNY1ZFaqEKKwIp1mSYcojrKOMaDWlVGuIhUgYoUB4SjQxqdBTI2js_zGRTlkMHGgHnTW5S1u-1MZVMp85bRYLVZiydpJEEROcM7JBT_-g87K2hf_OU4JsrlHqKdJQ2pbOWZPJpZ3lyq4kBrmxKRub0tuUXzbl2i-dbKPraW7Sn5VvfR6gDeD8qHg29vf2P7GfWdB-DA</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Shahait, Awni</creator><creator>Qadeer, Afreen Fatma</creator><creator>Hasnain, Mustafa Rashad</creator><creator>Baldawi, Mohanad</creator><creator>Gruber, Scott A.</creator><creator>Weaver, Donald</creator><creator>Mostafa, Gamal</creator><general>Springer US</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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20210201</creationdate><title>Hartmann’s Reversal Outcomes: a VASQIP Study</title><author>Shahait, Awni ; Qadeer, Afreen Fatma ; Hasnain, Mustafa Rashad ; Baldawi, Mohanad ; Gruber, Scott A. ; Weaver, Donald ; Mostafa, Gamal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-a82a1a263f8f13641c4f2cab33cc07998523026d2c2ed9cbe937893e4cd570603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Alcohol</topic><topic>Anastomosis, Surgical</topic><topic>Chemotherapy</topic><topic>Colectomy</topic><topic>Colostomy</topic><topic>Diabetes</topic><topic>Frailty</topic><topic>Gastroenterology</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Patients</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - surgery</topic><topic>Postoperative period</topic><topic>Regression analysis</topic><topic>Research Communication</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Steroids</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Veterans</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shahait, Awni</creatorcontrib><creatorcontrib>Qadeer, Afreen Fatma</creatorcontrib><creatorcontrib>Hasnain, Mustafa Rashad</creatorcontrib><creatorcontrib>Baldawi, Mohanad</creatorcontrib><creatorcontrib>Gruber, Scott A.</creatorcontrib><creatorcontrib>Weaver, Donald</creatorcontrib><creatorcontrib>Mostafa, Gamal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - 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subjects | Alcohol Anastomosis, Surgical Chemotherapy Colectomy Colostomy Diabetes Frailty Gastroenterology Humans Laparoscopy Medicine Medicine & Public Health Morbidity Mortality Patients Postoperative Complications - etiology Postoperative Complications - surgery Postoperative period Regression analysis Research Communication Retrospective Studies Risk factors Steroids Surgeons Surgery Veterans |
title | Hartmann’s Reversal Outcomes: a VASQIP Study |
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