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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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Long-term relative survival in patients having survived beyond 100 days after first admission for acute diverticulitis, in relation to ASA score
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Fig2: Long-term relative survival in patients having survived beyond 100 days after first admission for acute diverticulitis, in relation to ASA score

Mentions: Six hundred and nine patients survived the first 100 days after the first admission. In this group, the estimated relative survival decreased slightly by the years and was 96 % (CI 92 to 100) after 5 years, 91 % (CI 84 to 97) after 10 years, and 86 % (CI 76 to 95) after 15 years. The corresponding figures after uncomplicated diverticulitis were 97 % (CI 92 to 100) after 5 years, 91 % (CI 84 to 98) after 10 years, and 87 % (CI 76 to 97) after 15 years. After diverticulitis with abscess formation or free perforation (Hinchey I–IV), it was was 91 % (CI 75 to 100) after 5 years, 85 % (CI 62 to 103) after 10 years, and 69 % (CI 40 to 95) after 15 years. Figure 2 shows the estimated relative long-term survival in all patients in relation to ASA score at admission. All patients with ASA score 4 died within 3 years. Having survived the first 100 days, only one patient with acute diverticulitis later died directly after a new episode of acute diverticulitis. This episode was complicated with perforation, peritonitis, and sepsis.Fig. 2


Survival after acute colon diverticulitis treated in hospital.

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

Long-term relative survival in patients having survived beyond 100 days after first admission for acute diverticulitis, in relation to ASA score
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

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

Fig2: Long-term relative survival in patients having survived beyond 100 days after first admission for acute diverticulitis, in relation to ASA score
Mentions: Six hundred and nine patients survived the first 100 days after the first admission. In this group, the estimated relative survival decreased slightly by the years and was 96 % (CI 92 to 100) after 5 years, 91 % (CI 84 to 97) after 10 years, and 86 % (CI 76 to 95) after 15 years. The corresponding figures after uncomplicated diverticulitis were 97 % (CI 92 to 100) after 5 years, 91 % (CI 84 to 98) after 10 years, and 87 % (CI 76 to 97) after 15 years. After diverticulitis with abscess formation or free perforation (Hinchey I–IV), it was was 91 % (CI 75 to 100) after 5 years, 85 % (CI 62 to 103) after 10 years, and 69 % (CI 40 to 95) after 15 years. Figure 2 shows the estimated relative long-term survival in all patients in relation to ASA score at admission. All patients with ASA score 4 died within 3 years. Having survived the first 100 days, only one patient with acute diverticulitis later died directly after a new episode of acute diverticulitis. This episode was complicated with perforation, peritonitis, and sepsis.Fig. 2

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