Clinical surgery—InternationalExternal validation of prognostic models among cancer patients undergoing emergency colorectal surgery
Section snippets
Methods and Materials
A total of 102 patients who underwent emergency colorectal surgery for colorectal cancer in Ankara Numune Education and Research Hospital between January 1998 and July 2004 were included the study. Emergency indications for surgery were defined, including (1) patients with history and examination consistent with peritonitis, (2) patients with intra-abdominal abscess with systemic signs of sepsis (fever, increased white blood cell count, and/or signs of hemodynamic instability, and (3) patients
Results
Postsurgical mortality was 17 % (17 of 102). Mean age of the 102 (52 male and 50 female) study patients was 61 years (range 18 to 97). Demographic distribution of the patient group is listed in Table 1.
Comments
Intensive care is a costly area for which resources are limited. Decisions related to resource use and treatment plans must be based on objective data, which are generally provided by disease severity indices and mortality predictions. Performances of the commonly used disease severity scoring and mortality prediction systems may be affected by advances in technology and therapeutic strategies because the system have been described by differences in case mix of specific clinic from an original
Acknowledgments
The authors thank Mahmut Mutlu Dasdag (Department of Biostatistics, Dicle University School of Medicine) for statistical review.
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