A scoring system to predict a prolonged length of stay after surgery for Crohn’s disease

Aim Many factors influence the postoperative length of stay (LOS) in Crohn's disease (CD). This study aims to identify the factors associated with a prolonged LOS after ileocolic resection (ICR) for CD and to develop a scoring system to predict the postoperative LOS in CD. Method Patient data w...

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Bibliographic Details
Published in:Colorectal disease 2021-05, Vol.23 (5), p.1205-1212
Main Authors: Wickramasinghe, Dakshitha, Adegbola, Samuel, Sahnan, Kapil, Morar, Pritesh, Carvello, Michele, Di Candido, Francesca, Maroli, Annalisa, Spinelli, Antonino, Warusavitarne, Janindra
Format: Article
Language:English
Subjects:
Crohn's disease
Diagnosis
ileocecal resection
Length of stay
Multivariate analysis
Patients
Platelets
scoring system
Statistical analysis
Steroid hormones
Surgery
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Summary:Aim Many factors influence the postoperative length of stay (LOS) in Crohn's disease (CD). This study aims to identify the factors associated with a prolonged LOS after ileocolic resection (ICR) for CD and to develop a scoring system to predict the postoperative LOS in CD. Method Patient data were collected from St Marks Hospital, London, UK, and the Humanitas Clinical and Research Center Milan, Italy, for all patients who underwent an ICR for CD from 2005 to 2017. Logistic regression was used for multivariate analysis. The scoring system was developed from the logistic regression model. The performance of the scoring system was evaluated using the area under the receiver operating characteristic curve (AUROC). Results A total of 628 surgeries were included in the analysis. Eighty eight surgeries were excluded due to missing data. The remaining 543 were divided into two cohorts for the development (n = 418) and validation (n = 125) of the scoring system. The regression model was statistically significant (p 
ISSN:1462-8910
1463-1318
DOI:10.1111/codi.15567