Adhesive bowel obstruction: Incidence, recurrence and 30-day mortality in Danish women 1984–2013 – A national cohort study
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Adhesive bowel obstruction : Incidence, recurrence and 30-day mortality in Danish women 1984–2013 – A national cohort study. / Norrbom, C.; Steding-Jessen, M.; Agger, C.; Osler, M.; Krabbe-Sorensen, M.; Rasmussen, S. C.; Settnes, A.; Nilas, L.; Løkkegaard, E.
I: American Journal of Surgery, Bind 220, Nr. 4, 2020, s. 1044-1051.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Adhesive bowel obstruction
T2 - Incidence, recurrence and 30-day mortality in Danish women 1984–2013 – A national cohort study
AU - Norrbom, C.
AU - Steding-Jessen, M.
AU - Agger, C.
AU - Osler, M.
AU - Krabbe-Sorensen, M.
AU - Rasmussen, S. C.
AU - Settnes, A.
AU - Nilas, L.
AU - Løkkegaard, E.
PY - 2020
Y1 - 2020
N2 - Background: Adhesive bowel obstruction is a serious complication to abdominal surgery. It is unknown whether incidence and mortality rates have changed as new surgical procedures were introduced. Methods: In a nationwide cohort of Danish women from 1984 to 2013, incidence of adhesive bowel obstruction and 30 days mortality were presented as standardized rates. Impact of treatment was analyzed by Cox regression and recurrent disease characterized by Kaplan Meyer estimates. Results: Incidence of adhesive bowel obstruction increased 50% among women with no prior abdominal surgery. These women had 3-5 times lower incidence than those with a surgical record. 30-day mortality rate was 13%, highest in patients treated non-operatively. The mortality declined in recent years. Recurrent disease had lower mortality rates compared to the first episode. Conclusions: The incidence of adhesive bowel obstruction increased during the last 30 years, mortality after the first episode is high, while recurrent disease shows declining mortality rates.
AB - Background: Adhesive bowel obstruction is a serious complication to abdominal surgery. It is unknown whether incidence and mortality rates have changed as new surgical procedures were introduced. Methods: In a nationwide cohort of Danish women from 1984 to 2013, incidence of adhesive bowel obstruction and 30 days mortality were presented as standardized rates. Impact of treatment was analyzed by Cox regression and recurrent disease characterized by Kaplan Meyer estimates. Results: Incidence of adhesive bowel obstruction increased 50% among women with no prior abdominal surgery. These women had 3-5 times lower incidence than those with a surgical record. 30-day mortality rate was 13%, highest in patients treated non-operatively. The mortality declined in recent years. Recurrent disease had lower mortality rates compared to the first episode. Conclusions: The incidence of adhesive bowel obstruction increased during the last 30 years, mortality after the first episode is high, while recurrent disease shows declining mortality rates.
KW - Adhesive bowel obstruction
KW - Cohort study
KW - Mortality rate
U2 - 10.1016/j.amjsurg.2020.02.029
DO - 10.1016/j.amjsurg.2020.02.029
M3 - Journal article
C2 - 32171472
AN - SCOPUS:85081608128
VL - 220
SP - 1044
EP - 1051
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 4
ER -
ID: 250476555