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Survival after acute colon diverticulitis treated in hospital.

Edna TH, Jamal Talabani A, Lydersen S, Endreseth BH - Int J Colorectal Dis (2014)

Bottom Line: After surviving the first 100 days, the estimated 5-year relative survival in the remaining 609 patients was 96 % (CI 92 to 100) and 10-year survival was 91 % (CI 84 to 97).In patients who survived the first 100 days, the different subtypes of diverticulitis yielded no significant differences in long-term relative survival.All patients who had been admitted with ASA score 4 were dead after 2 years.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Levanger Hospital, North-Trondelag Hospital Trust, Levanger, Norway, thedna@hnt.no.

ABSTRACT

Purpose: The aim of this study was to determine the short- and long-term relative survival as well as the causes of death in patients treated in hospital for acute colonic diverticulitis.

Materials and methods: The study included all patients treated at Levanger Hospital for acute colonic diverticulitis between 1988 and 2012. Vital statistics were complete. The median observation time was 6.95 years (range 0.28-24.66) or until death.

Results: In total, 650 different patients were hospitalized with acute colonic diverticulitis. Among these patients, there were 851 admissions for the same disease during the 25 years. The admissions had the following diagnoses: simple diverticulitis, 738; abscess formation , 44; perforation and purulent peritonitis, 47; perforation and fecal peritonitis, 9; and intestinal obstruction, 13. During the observation time, 219 were dead and 431 were still alive. After the first admission, the 100 day relative survival in patients with uncomplicated diverticulitis was 97 % (CI 95 to 99), with abscess formation 79 % (62 to 89), with purulent peritonitis 84 % (69 to 92), with fecal peritonitis 44 % (10 to 74), and with intestinal obstruction 80 % (38 to 96). After surviving the first 100 days, the estimated 5-year relative survival in the remaining 609 patients was 96 % (CI 92 to 100) and 10-year survival was 91 % (CI 84 to 97). In patients who survived the first 100 days, the different subtypes of diverticulitis yielded no significant differences in long-term relative survival. All patients who had been admitted with ASA score 4 were dead after 2 years.

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Relative survival 100 days after first episode of acute colonic diverticulitis
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Fig1: Relative survival 100 days after first episode of acute colonic diverticulitis

Mentions: The total 100-day mortality rate was 7.5 % (49/650). Forty-one patients died during their first admission. Six patients died after a second admission and two after a third admission because of acute diverticulitis during this time interval. The 100-day relative survival curves in relation to the subcategories of acute diverticulitis are shown in Fig. 1.Fig. 1


Survival after acute colon diverticulitis treated in hospital.

Edna TH, Jamal Talabani A, Lydersen S, Endreseth BH - Int J Colorectal Dis (2014)

Relative survival 100 days after first episode of acute colonic diverticulitis
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4197364&req=5

Fig1: Relative survival 100 days after first episode of acute colonic diverticulitis
Mentions: The total 100-day mortality rate was 7.5 % (49/650). Forty-one patients died during their first admission. Six patients died after a second admission and two after a third admission because of acute diverticulitis during this time interval. The 100-day relative survival curves in relation to the subcategories of acute diverticulitis are shown in Fig. 1.Fig. 1

Bottom Line: After surviving the first 100 days, the estimated 5-year relative survival in the remaining 609 patients was 96 % (CI 92 to 100) and 10-year survival was 91 % (CI 84 to 97).In patients who survived the first 100 days, the different subtypes of diverticulitis yielded no significant differences in long-term relative survival.All patients who had been admitted with ASA score 4 were dead after 2 years.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Levanger Hospital, North-Trondelag Hospital Trust, Levanger, Norway, thedna@hnt.no.

ABSTRACT

Purpose: The aim of this study was to determine the short- and long-term relative survival as well as the causes of death in patients treated in hospital for acute colonic diverticulitis.

Materials and methods: The study included all patients treated at Levanger Hospital for acute colonic diverticulitis between 1988 and 2012. Vital statistics were complete. The median observation time was 6.95 years (range 0.28-24.66) or until death.

Results: In total, 650 different patients were hospitalized with acute colonic diverticulitis. Among these patients, there were 851 admissions for the same disease during the 25 years. The admissions had the following diagnoses: simple diverticulitis, 738; abscess formation , 44; perforation and purulent peritonitis, 47; perforation and fecal peritonitis, 9; and intestinal obstruction, 13. During the observation time, 219 were dead and 431 were still alive. After the first admission, the 100 day relative survival in patients with uncomplicated diverticulitis was 97 % (CI 95 to 99), with abscess formation 79 % (62 to 89), with purulent peritonitis 84 % (69 to 92), with fecal peritonitis 44 % (10 to 74), and with intestinal obstruction 80 % (38 to 96). After surviving the first 100 days, the estimated 5-year relative survival in the remaining 609 patients was 96 % (CI 92 to 100) and 10-year survival was 91 % (CI 84 to 97). In patients who survived the first 100 days, the different subtypes of diverticulitis yielded no significant differences in long-term relative survival. All patients who had been admitted with ASA score 4 were dead after 2 years.

Show MeSH
Related in: MedlinePlus